Claire Niles Petersen in Watertown - Chiropractor
Claire Niles Petersen - NPI 1730257825
Claire Niles Petersen is a Chiropractor in Watertown, Wisconsin. Claire Niles Petersen practices all healthcare services and medical treatments related to Chiropractor. The NPI Number for Claire Niles Petersen is 1730257825. The last update date is 2007-07-08.
Claire Niles Petersen's current location address is 612 N Church St, Watertown, Wisconsin. You can contact this provider via phone number 9202611226 and fax number 9202611435. The mailing address for Claire Niles Petersen is 612 N Church St, Watertown, Wisconsin. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Claire Niles Petersen |
|---|---|
| Address | 612 N Church St, Watertown, Wisconsin |
| Phone Number | 9202611226 |
| Fax Number | 9202611435 |
| Sole Proprietor | Y |
| Credentials | D.C. |
NPI Number Detail
| NPI Number | 1730257825 |
|---|---|
| Provider Enumeration Date | 2006-11-30 |
| Last Updated Date | 2007-07-08 |
Provider Mailing Address Detail
| Address | 612 N Church St |
|---|---|
| City | Watertown |
| State | Wisconsin (WI) |
| Post Code | 530982111 |
| Phone Number | 9202611226 |
| Fax Number | 9202611435 |
Provider's Primary Taxonomy Detail
| Speciality | Chiropractor |
|---|---|
| Taxonomy | 111N00000X |
| Licence No | 1330-012 |
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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 |
|---|---|---|---|
| 391281394018 | WI | B C |
Post Comment/ Review Below
What is the unique 10-digit identifier code issued to Claire Niles Petersen by the Centers for Medicare & Medicaid Services?
The Claire Niles Petersen has been assigned the NPI (National Provider Identifier) 1730257825 by the CMS (Centers for Medicare & Medicaid Services). This 10-digit code serves as a unique identification number for healthcare providers.
Could you please share the complete physical address where Claire Niles Petersen is geographically located?
The Claire Niles Petersen is physically situated at the following location: 612 N Church St, Watertown, WI, 530982111.
What is Claire Niles Petersen's area of expertise and its corresponding taxonomy classification?
The Claire Niles Petersen'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 Claire Niles Petersen receive its 1730257825 assignment from the Centers for Medicare & Medicaid Services?
The Claire Niles Petersen was assigned its 1730257825 by the Centers for Medicare & Medicaid Services on 2006-11-30.
As of what date were the details related to Claire Niles Petersen most recently updated or revised?
The information pertaining to Claire Niles Petersen, including its address, specialty, and other relevant details, was last updated or revised on 2007-07-08.