Jason D Peterson in Willmar - Chiropractor

Jason D Peterson - NPI 1992825244

Jason D Peterson is a Chiropractor in Willmar, Minnesota. Jason D Peterson practices all healthcare services and medical treatments related to Chiropractor. The NPI Number for Jason D Peterson is 1992825244. The last update date is 2007-07-08.

Jason D Peterson's current location address is 700 1st St S, Willmar, Minnesota. You can contact this provider via phone number 3202311414 and fax number 3202312828. The mailing address for Jason D Peterson is 700 1st St S, Willmar, Minnesota. To know further, please read the information below!

Provider Profile Detail

Provider Name Jason D Peterson
Address 700 1st St S, Willmar, Minnesota
Phone Number 3202311414
Fax Number 3202312828
Sole Proprietor Y
Credentials D.C.

NPI Number Detail

NPI Number 1992825244
Provider Enumeration Date 2007-03-30
Last Updated Date 2007-07-08

Provider Mailing Address Detail

Address 700 1st St S
City Willmar
State Minnesota (MN)
Post Code 562013504
Phone Number 3202311414
Fax Number 3202312828

Provider's Primary Taxonomy Detail

Speciality Chiropractor
Taxonomy 111N00000X
Licence No 3352
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
31B85PE MN BLUECROSSBLUESHIELD

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FAQs about Jason D Peterson

What is the unique 10-digit identifier code issued to Jason D Peterson by the Centers for Medicare & Medicaid Services?

The Jason D Peterson has been assigned the NPI (National Provider Identifier) 1992825244 by the CMS (Centers for Medicare & Medicaid Services). This 10-digit code serves as a unique identification number for healthcare providers.

Could you please provide the complete physical location address of Jason D Peterson?

The Jason D Peterson is physically situated at 700 1St St S, in the city of Willmar, state of MN, with the postal code 562013504.

What is Jason D Peterson's primary area of medical expertise, and what taxonomy classification code corresponds to this specialized field?

The primary area of medical expertise for Jason D Peterson is Chiropractor, and the corresponding taxonomy classification code for this specialized field is 111N00000X.

When was the Jason D Peterson's 1992825244 issued?

The Jason D Peterson's 1992825244 was issued on 2007-03-30.

As of what date were the details related to Jason D Peterson most recently updated or revised?

The information pertaining to Jason D Peterson, including its address, specialty, and other relevant details, was last updated or revised on 2007-07-08.

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