Charles J Peterson Dc Pc in Shenandoah - Chiropractor
Charles J Peterson Dc Pc - NPI 1083687636
Charles J Peterson Dc Pc is a Chiropractor in Shenandoah, Iowa. Charles J Peterson Dc Pc practices all healthcare services and medical treatments related to Chiropractor. The NPI Number for Charles J Peterson Dc Pc is 1083687636. The last update date is 2020-08-22.
Charles J Peterson Dc Pc's current location address is 1203 W Sheridan Ave, Shenandoah, Iowa. You can contact this provider via phone number 7122464798 and fax number 7122465613. The mailing address for Charles J Peterson Dc Pc is 1203 W Sheridan Ave, Shenandoah, Iowa. To know further, please read the information below!
Provider Profile Detail
| Provider Organization | Charles J Peterson Dc Pc |
|---|---|
| Address | 1203 W Sheridan Ave, Shenandoah, Iowa |
| Phone Number | 7122464798 |
| Fax Number | 7122465613 |
| Sole Proprietor | -- |
| Credentials | -- |
Authorized Official
| Title or Position | PRESIDENT |
|---|---|
| Authorized Official Name | Peterson J Charles |
| Credentials | DC |
| Telephone Number | 7122464798 |
NPI Number Detail
| NPI Number | 1083687636 |
|---|---|
| Provider Enumeration Date | 2006-02-13 |
| Last Updated Date | 2020-08-22 |
Provider Mailing Address Detail
| Address | 1203 W Sheridan Ave |
|---|---|
| City | Shenandoah |
| State | Iowa (IA) |
| Post Code | 51601 |
| Phone Number | 7122464798 |
| Fax Number | 7122465613 |
Provider's Primary Taxonomy Detail
| Speciality | Chiropractor |
|---|---|
| Taxonomy | 111N00000X |
| Licence No | 4065 |
|
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 |
|---|---|---|---|
| 1527 | IA | WELLMARK | |
| 15271 | IA | -- |
Post Comment/ Review Below
What is the unique 10-digit identification code assigned to Charles J Peterson Dc Pc by the Centers for Medicare & Medicaid Services?
The Charles J Peterson Dc Pc has been issued the NPI (National Provider Identifier) 1083687636, which serves as a unique identifier for healthcare providers, assigned by the Centers for Medicare & Medicaid Services (CMS).
Where is the Charles J Peterson Dc Pc located?
The Charles J Peterson Dc Pc is located at 1203 W Sheridan Ave, Shenandoah, IA 51601.
What is the Charles J Peterson Dc Pc's area of specialization and corresponding taxonomy classification?
The Charles J Peterson Dc Pc's specialty field is Chiropractor, and it falls under the taxonomy code 111N00000X, which categorizes healthcare providers based on their specialties.
On what date did the Charles J Peterson Dc Pc receive the assignment of its 1083687636 from the Centers for Medicare & Medicaid Services?
The Charles J Peterson Dc Pc was issued its 1083687636 by the Centers for Medicare & Medicaid Services on 2006-02-13.
As of what date were the Charles J Peterson Dc Pc's details last updated?
The information pertaining to the Charles J Peterson Dc Pc, including its address, specialty, and other details, was most recently updated on 2020-08-22.
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