Boyd M Peterson is a Chiropractor in Milwaukee, Wisconsin. Boyd M Peterson practices all healthcare services and medical treatments related to Chiropractor. The NPI Number for Boyd M Peterson is 1417901422. The last update date is 2013-02-01.
Boyd M Peterson's current location address is 1155 N Mayfair Rd, Milwaukee, Wisconsin. You can contact this provider via phone number 4149557199 and fax number 4149550110. The mailing address for Boyd M Peterson is 1155 N Mayfair Rd, Milwaukee, Wisconsin. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Boyd M Peterson |
|---|---|
| Address | 1155 N Mayfair Rd, Milwaukee, Wisconsin |
| Phone Number | 4149557199 |
| Fax Number | 4149550110 |
| Sole Proprietor | N |
| Credentials | DC |
NPI Number Detail
| NPI Number | 1417901422 |
|---|---|
| Provider Enumeration Date | 2006-05-22 |
| Last Updated Date | 2013-02-01 |
Provider Mailing Address Detail
| Address | 1155 N Mayfair Rd |
|---|---|
| City | Milwaukee |
| State | Wisconsin (WI) |
| Post Code | 532263421 |
| Phone Number | 4149557199 |
| Fax Number | 4149550110 |
Provider's Primary Taxonomy Detail
| Speciality | Chiropractor |
|---|---|
| Taxonomy | 111N00000X |
| Licence No | 2800 |
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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 |
|---|---|---|---|
| 007000261F | HUMANA | ||
| 1417901422 | WI | -- |
Post Comment/ Review Below
What is the unique 10-digit identifier code assigned to Boyd M Peterson by the Centers for Medicare & Medicaid Services?
The Boyd M Peterson has been issued the NPI (National Provider Identifier) 1417901422 by the CMS (Centers for Medicare & Medicaid Services), which serves as a unique identification number for healthcare providers.
Can you provide the Boyd M Peterson's physical address?
The Boyd M Peterson is physically located at 1155 N Mayfair Rd, in the city of Milwaukee, WI, with the postal code 532263421.
What is the Boyd M Peterson's area of specialization and corresponding taxonomy classification?
The Boyd M Peterson's specialty field is Chiropractor, and it falls under the taxonomy code 111N00000X, which categorizes healthcare providers based on their specialties.
On what date did the Centers for Medicare & Medicaid Services originally issue the 1417901422 to Boyd M Peterson?
The Centers for Medicare & Medicaid Services originally issued the 1417901422 to Boyd M Peterson on 2006-05-22.
As of what date was the information regarding Boyd M Peterson, such as address, specialty, and other details, last verified and confirmed to be up-to-date?
The information related to Boyd M Peterson, including its address, specialty, and other relevant details, was last verified and confirmed to be up-to-date on 2013-02-01.