Anthony W Peck, D.C. in O Fallon - Chiropractor
Anthony W Peck, D.C. - NPI 1457311268
Anthony W Peck, D.C. is a Chiropractor in O Fallon, Illinois. Anthony W Peck, D.C. practices all healthcare services and medical treatments related to Chiropractor. The NPI Number for Anthony W Peck, D.C. is 1457311268. The last update date is 2013-11-07.
Anthony W Peck, D.C.'s current location address is 1601 W Us Highway 50, O Fallon, Illinois. You can contact this provider via phone number 6186288882 and fax number 6186288856. The mailing address for Anthony W Peck, D.C. is 1601 W Us Highway 50, O Fallon, Illinois. To know further, please read the information below!
Provider Profile Detail
| Provider Organization | Anthony W Peck, D.C. |
|---|---|
| Address | 1601 W Us Highway 50, O Fallon, Illinois |
| Phone Number | 6186288882 |
| Fax Number | 6186288856 |
| Sole Proprietor | -- |
| Credentials | -- |
Authorized Official
| Title or Position | OWNER |
|---|---|
| Authorized Official Name | Peck William Anthony |
| Credentials | DC |
| Telephone Number | 6186288882 |
NPI Number Detail
| NPI Number | 1457311268 |
|---|---|
| Provider Enumeration Date | 2006-03-24 |
| Last Updated Date | 2013-11-07 |
Provider Mailing Address Detail
| Address | 1601 W Us Highway 50 |
|---|---|
| City | O Fallon |
| State | Illinois (IL) |
| Post Code | 622691622 |
| Phone Number | 6186288882 |
| Fax Number | 6186288856 |
Provider's Primary Taxonomy Detail
| Speciality | Chiropractor |
|---|---|
| Taxonomy | 111N00000X |
| Licence No | 038-008515 |
|
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 |
|
Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 8225845 | IL | BLUE CROSS BLUE SHIELD IL |
Post Comment/ Review Below
What is the Anthony W Peck, D.C.'s unique identification number?
The Anthony W Peck, D.C. has been assigned the NPI (National Provider Identifier) Number 1457311268 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code serves as a unique identifier for the organization.
Could you kindly provide the complete physical address where Anthony W Peck, D.C.'s facilities are geographically located?
The facilities of Anthony W Peck, D.C. are physically situated at the following location: 1601 W Us Highway 50, O Fallon, IL, 622691622.
What is the Anthony W Peck, D.C.'s specialty and taxonomy code?
The Anthony W Peck, D.C.'s specialty is Chiropractor, and the corresponding taxonomy code is 111N00000X.
On what date was the 1457311268 assigned to Anthony W Peck, D.C.?
The Anthony W Peck, D.C. was issued its 1457311268 on 2006-03-24, which is the date when this unique identifier was assigned to the organization by the Centers for Medicare & Medicaid Services.
As of what date were the Anthony W Peck, D.C.'s details last updated?
The information pertaining to the Anthony W Peck, D.C., including its address, specialty, and other details, was most recently updated on 2013-11-07.
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