Peter Albert Landry in Elk River - Chiropractor

Peter Albert Landry - NPI 1669430062

Peter Albert Landry is a Chiropractor in Elk River, Minnesota. Peter Albert Landry practices all healthcare services and medical treatments related to Chiropractor. The NPI Number for Peter Albert Landry is 1669430062. The last update date is 2007-07-30.

Peter Albert Landry's current location address is 19449 Evans St Nw, Elk River, Minnesota. You can contact this provider via phone number 6127029012 and fax number 7636330039. The mailing address for Peter Albert Landry is 19449 Evans St Nw, Elk River, Minnesota. To know further, please read the information below!

Provider Profile Detail

Provider Name Peter Albert Landry
Address 19449 Evans St Nw, Elk River, Minnesota
Phone Number 6127029012
Fax Number 7636330039
Sole Proprietor N
Credentials D.C.

NPI Number Detail

NPI Number 1669430062
Provider Enumeration Date 2006-05-03
Last Updated Date 2007-07-30

Provider Mailing Address Detail

Address 19449 Evans St Nw
City Elk River
State Minnesota (MN)
Post Code 553301074
Phone Number 6127029012
Fax Number 7636330039

Provider's Primary Taxonomy Detail

Speciality Chiropractor
Taxonomy 111N00000X
Licence No 3805
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
94631 MN HEALTH PARTNERS GROUP NUM
45D48LA MN BLUECROSS PIN
4487073 MN MEDICA GROUP ID

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FAQs about Peter Albert Landry

What is the unique 10-digit identification code issued to Peter Albert Landry by the Centers for Medicare & Medicaid Services?

The Peter Albert Landry has been assigned the NPI (National Provider Identifier) 1669430062 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code serves as a unique identifier for healthcare providers.

Could you provide the complete physical address where Peter Albert Landry is located?

The Peter Albert Landry is situated at the following address: 19449 Evans St Nw, Elk River, MN, 553301074.

What is the area of specialization for Peter Albert Landry, and what is the corresponding taxonomy classification code for this field?

The specialized field of practice for Peter Albert Landry is Chiropractor, and the corresponding taxonomy code that categorizes this area of expertise is 111N00000X.

On what date did Peter Albert Landry receive its 1669430062 assignment from the Centers for Medicare & Medicaid Services?

The Peter Albert Landry was assigned its 1669430062 on 2006-05-03, which is the date when this unique identifier was issued to the organization by the Centers for Medicare & Medicaid Services.

When was the information pertaining to Peter Albert Landry most recently updated or revised?

The details related to Peter Albert Landry, including its address, specialty, and other relevant information, were last updated or revised on 2007-07-30.

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