Shane C Peterson in Menomonie - Chiropractor
Shane C Peterson - NPI 1194749333
Shane C Peterson is a Chiropractor in Menomonie, Wisconsin. Shane C Peterson practices all healthcare services and medical treatments related to Chiropractor. The NPI Number for Shane C Peterson is 1194749333. The last update date is 2007-07-08.
Shane C Peterson's current location address is 2303 Schneider Ave Se, Menomonie, Wisconsin. You can contact this provider via phone number 7152331867 and fax number 7152331868. The mailing address for Shane C Peterson is 2303 Schneider Ave Se, Menomonie, Wisconsin. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Shane C Peterson |
|---|---|
| Address | 2303 Schneider Ave Se, Menomonie, Wisconsin |
| Phone Number | 7152331867 |
| Fax Number | 7152331868 |
| Sole Proprietor | N |
| Credentials | D.C. |
NPI Number Detail
| NPI Number | 1194749333 |
|---|---|
| Provider Enumeration Date | 2006-07-27 |
| Last Updated Date | 2007-07-08 |
Provider Mailing Address Detail
| Address | 2303 Schneider Ave Se |
|---|---|
| City | Menomonie |
| State | Wisconsin (WI) |
| Post Code | 547517005 |
| Phone Number | 7152331867 |
| Fax Number | 7152331868 |
Provider's Primary Taxonomy Detail
| Speciality | Chiropractor |
|---|---|
| Taxonomy | 111N00000X |
| Licence No | 3763 |
|
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 |
|
Post Comment/ Review Below
What is the unique identifier code issued to Shane C Peterson by the Centers for Medicare & Medicaid Services?
The Shane C Peterson has been assigned the NPI (National Provider Identifier) 1194749333. This 10-digit code serves as a unique identification number for healthcare providers issued by the Centers for Medicare & Medicaid Services (CMS).
Can you provide the Shane C Peterson's physical address?
The Shane C Peterson is physically located at 2303 Schneider Ave Se, in the city of Menomonie, WI, with the postal code 547517005.
What is Shane C Peterson's area of expertise and its corresponding taxonomy classification?
The Shane C Peterson's field of specialization is Chiropractor, and it falls under the taxonomy code 111N00000X, which categorizes healthcare providers based on their areas of practice.
On what date did the Shane C Peterson receive the assignment of its 1194749333 from the Centers for Medicare & Medicaid Services?
The Shane C Peterson was issued its 1194749333 by the Centers for Medicare & Medicaid Services on 2006-07-27.
When was the information pertaining to Shane C Peterson most recently updated or revised?
The details related to Shane C Peterson, including its address, specialty, and other relevant information, were last updated or revised on 2007-07-08.
NPI Number: 1588640346
Address: 126 Missouri Avenue (box #1267), Fort Leonard Wood, MO
NPI Number: 1174596415
Address: Madigan Army Medical Center 9040 Jackson Ave, Tacoma, WA