Peterson Chiropractic, Pc in Grand Haven - Chiropractor
Peterson Chiropractic, Pc - NPI 1962697672
Peterson Chiropractic, Pc is a Chiropractor in Grand Haven, Michigan. Peterson Chiropractic, Pc practices all healthcare services and medical treatments related to Chiropractor. The NPI Number for Peterson Chiropractic, Pc is 1962697672. The last update date is 2007-09-06.
Peterson Chiropractic, Pc's current location address is 635 Fulton St, Grand Haven, Michigan. You can contact this provider via phone number 6168429411 and fax number 6168429058. The mailing address for Peterson Chiropractic, Pc is 635 Fulton St, Grand Haven, Michigan. To know further, please read the information below!
Provider Profile Detail
| Provider Organization | Peterson Chiropractic, Pc |
|---|---|
| Address | 635 Fulton St, Grand Haven, Michigan |
| Phone Number | 6168429411 |
| Fax Number | 6168429058 |
| Sole Proprietor | -- |
| Credentials | -- |
Authorized Official
| Title or Position | PRESIDENT |
|---|---|
| Authorized Official Name | Peterson Mary |
| Credentials | D.C. |
| Telephone Number | 6168429411 |
NPI Number Detail
| NPI Number | 1962697672 |
|---|---|
| Provider Enumeration Date | 2007-09-06 |
| Last Updated Date | 2007-09-06 |
Provider Mailing Address Detail
| Address | 635 Fulton St |
|---|---|
| City | Grand Haven |
| State | Michigan (MI) |
| Post Code | 494171237 |
| Phone Number | 6168429411 |
| Fax Number | 6168429058 |
Provider's Primary Taxonomy Detail
| Speciality | Chiropractor |
|---|---|
| Taxonomy | 111N00000X |
| Licence No | 2301007900 |
|
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 |
|---|---|---|---|
| 0N94490 | MI | MEDICARE GROUP NUMBER |
Post Comment/ Review Below
What is the unique identification code assigned to Peterson Chiropractic, Pc by the Centers for Medicare & Medicaid Services?
The Peterson Chiropractic, Pc has been issued the NPI (National Provider Identifier) 1962697672. This 10-digit code serves as a unique identifier for healthcare providers, assigned by the Centers for Medicare & Medicaid Services (CMS).
Could you please share the complete physical location address where Peterson Chiropractic, Pc's facilities are situated?
The facilities of Peterson Chiropractic, Pc are physically located at the following address: 635 Fulton St, Grand Haven, MI, 494171237.
What is the Peterson Chiropractic, Pc's area of specialization and corresponding taxonomy classification?
The Peterson Chiropractic, Pc's specialty field is Chiropractor, and it falls under the taxonomy code 111N00000X, which categorizes healthcare providers based on their specialties.
When did the Peterson Chiropractic, Pc receive its 1962697672?
The Peterson Chiropractic, Pc was issued its 1962697672 on 2007-09-06, which is the date when the organization was assigned this unique identifier.
As of what date were the details related to Peterson Chiropractic, Pc most recently updated or revised?
The information pertaining to Peterson Chiropractic, Pc, including its address, specialty, and other relevant details, was last updated or revised on 2007-09-06.