Nickalos Lee Peterson in Ridgefield - Chiropractor
Nickalos Lee Peterson - NPI 1598864282
Nickalos Lee Peterson is a Chiropractor in Ridgefield, Connecticut. Nickalos Lee Peterson practices all healthcare services and medical treatments related to Chiropractor. The NPI Number for Nickalos Lee Peterson is 1598864282. The last update date is 2007-07-08.
Nickalos Lee Peterson's current location address is 31 Bailey Ave, Ridgefield, Connecticut. You can contact this provider via phone number 2034389609 and fax number 2034387141. The mailing address for Nickalos Lee Peterson is 31 Bailey Ave, Ridgefield, Connecticut. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Nickalos Lee Peterson |
|---|---|
| Address | 31 Bailey Ave, Ridgefield, Connecticut |
| Phone Number | 2034389609 |
| Fax Number | 2034387141 |
| Sole Proprietor | Y |
| Credentials | D.C. |
NPI Number Detail
| NPI Number | 1598864282 |
|---|---|
| Provider Enumeration Date | 2006-09-21 |
| Last Updated Date | 2007-07-08 |
Provider Mailing Address Detail
| Address | 31 Bailey Ave |
|---|---|
| City | Ridgefield |
| State | Connecticut (CT) |
| Post Code | 68774533 |
| Phone Number | 2034389609 |
| Fax Number | 2034387141 |
Provider's Primary Taxonomy Detail
| Speciality | Chiropractor |
|---|---|
| Taxonomy | 111N00000X |
| Licence No | 180 |
|
Definition: A provider qualified by a Doctor of Chiropractic (D.C.), licensed by the State and who practices chiropractic medicine -that discipline within the healing arts which deals with the nervous system and its relationship to the spinal column and its inte |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| P405105 | CT | OXFORD PROVIDER ID NUMBER | |
| 4380815 | CT | AETNA PPO ID NUMBER | |
| 050000180CT01 | CT | ANTHEM BC/BS ID PROVIDER | |
| LANDMARK /HEALT | CT | CT00180 PROVIDER ID# | |
| 9323280003 | CT | CIGNA PROVIDER ID NUMBER | |
| 114667 | CT | AETNA HMO ID NUMBER |
Post Comment/ Review Below
What is the unique 10-digit identification code issued to Nickalos Lee Peterson by the Centers for Medicare & Medicaid Services?
The Nickalos Lee Peterson has been assigned the NPI (National Provider Identifier) 1598864282 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code serves as a unique identifier for healthcare providers.
Could you please share the complete physical address where Nickalos Lee Peterson is geographically located?
The Nickalos Lee Peterson is physically situated at the following location: 31 Bailey Ave, Ridgefield, CT, 68774533.
What is the area of specialization for Nickalos Lee Peterson, and what is the corresponding taxonomy classification code for this field?
The specialized field of practice for Nickalos Lee Peterson is Chiropractor, and the corresponding taxonomy code that categorizes this area of expertise is 111N00000X.
When did Nickalos Lee Peterson receive its 1598864282 assignment?
The Nickalos Lee Peterson was assigned its 1598864282 on 2006-09-21, which is the date when this unique identifier was issued to the organization.
When was the information related to Nickalos Lee Peterson most recently updated or refreshed?
The details pertaining to the Nickalos Lee Peterson, including its address, specialty, and other relevant information, were last updated or refreshed on 2007-07-08.