Keith A Peterson is a Chiropractor in Rolla, Missouri. Keith A Peterson practices all healthcare services and medical treatments related to Chiropractor. The NPI Number for Keith A Peterson is 1972679439. The last update date is 2016-12-02.
Keith A Peterson's current location address is 12661 County Road 5050, Rolla, Missouri. You can contact this provider via phone number 5735786416. The mailing address for Keith A Peterson is 12661 County Road 5050, Rolla, Missouri. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Keith A Peterson |
|---|---|
| Address | 12661 County Road 5050, Rolla, Missouri |
| Phone Number | 5735786416 |
| Fax Number | |
| Sole Proprietor | N |
| Credentials | DC |
NPI Number Detail
| NPI Number | 1972679439 |
|---|---|
| Provider Enumeration Date | 2006-11-28 |
| Last Updated Date | 2016-12-02 |
Provider Mailing Address Detail
| Address | 12661 County Road 5050 |
|---|---|
| City | Rolla |
| State | Missouri (MO) |
| Post Code | 654018053 |
| Phone Number | 5735786416 |
| Fax Number |
Provider's Primary Taxonomy Detail
| Speciality | Chiropractor |
|---|---|
| Taxonomy | 111N00000X |
| Licence No | 2003008892 |
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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 |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 176200 | MO | BLUE CROSS BLUE SHIELD | |
| 694831 | MO | HEALTHLINK |
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What is the unique 10-digit identifier code issued to Keith A Peterson by the Centers for Medicare & Medicaid Services?
The Keith A Peterson has been assigned the NPI (National Provider Identifier) 1972679439 by the CMS (Centers for Medicare & Medicaid Services). This 10-digit code serves as a unique identification number for healthcare providers.
Could you provide the complete physical address where Keith A Peterson is located?
The Keith A Peterson is situated at the following address: 12661 County Road 5050, Rolla, MO, 654018053.
What is Keith A Peterson's area of specialization, and what is the corresponding taxonomy classification code for this field of practice?
The specialized area of practice for Keith A Peterson is Chiropractor, and the taxonomy code that categorizes this field of expertise is 111N00000X.
When did the Keith A Peterson receive its 1972679439?
The Keith A Peterson was issued its 1972679439 on 2006-11-28, which is the date when the organization was assigned this unique identifier.
As of what date was the information regarding Keith A Peterson, such as address, specialty, and other details, last verified and confirmed to be up-to-date?
The information related to Keith A Peterson, including its address, specialty, and other relevant details, was last verified and confirmed to be up-to-date on 2016-12-02.