Peter J Wakeman in Daytona Beach - Chiropractor
Peter J Wakeman - NPI 1669458600
Peter J Wakeman is a Chiropractor in Daytona Beach, Florida. Peter J Wakeman practices all healthcare services and medical treatments related to Chiropractor. The NPI Number for Peter J Wakeman is 1669458600. The last update date is 2018-04-03.
Peter J Wakeman's current location address is 305 Memorial Medical Pkwy Ste 305, Daytona Beach, Florida. You can contact this provider via phone number 3866730201 and fax number 3866778143. The mailing address for Peter J Wakeman is 305 Memorial Medical Pkwy Ste 305, Daytona Beach, Florida. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Peter J Wakeman |
|---|---|
| Address | 305 Memorial Medical Pkwy Ste 305, Daytona Beach, Florida |
| Phone Number | 3866730201 |
| Fax Number | 3866778143 |
| Sole Proprietor | Y |
| Credentials | D.C. |
NPI Number Detail
| NPI Number | 1669458600 |
|---|---|
| Provider Enumeration Date | 2005-12-21 |
| Last Updated Date | 2018-04-03 |
Provider Mailing Address Detail
| Address | 305 Memorial Medical Pkwy Ste 305 |
|---|---|
| City | Daytona Beach |
| State | Florida (FL) |
| Post Code | 321175169 |
| Phone Number | 3866730201 |
| Fax Number | 3866778143 |
Provider's Primary Taxonomy Detail
| Speciality | Chiropractor |
|---|---|
| Taxonomy | 111N00000X |
| Licence No | CH5831 |
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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 |
|---|---|---|---|
| 22266 | FL | BCBS | |
| 50602800 | FL | -- | |
| P00103322 | FL | RAILROAD MEDICARE PIN |
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What is the Peter J Wakeman's unique identification number?
The Peter J Wakeman has been assigned the NPI (National Provider Identifier) Number 1669458600 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code serves as a unique identifier for the organization.
Where is the Peter J Wakeman located?
The Peter J Wakeman is located at 305 Memorial Medical Pkwy Ste 305, Daytona Beach, FL 321175169.
What is the Peter J Wakeman's area of specialization and corresponding taxonomy classification?
The Peter J Wakeman's specialty field is Chiropractor, and it falls under the taxonomy code 111N00000X, which categorizes healthcare providers based on their specialties.
When did Peter J Wakeman receive its 1669458600 assignment?
The Peter J Wakeman was assigned its 1669458600 on 2005-12-21, which is the date when this unique identifier was issued to the organization.
As of what date were the details related to Peter J Wakeman most recently updated or revised?
The information pertaining to Peter J Wakeman, including its address, specialty, and other relevant details, was last updated or revised on 2018-04-03.