Peter Thibodeau is a Neurology in Soquel, California. Peter Thibodeau practices all healthcare services and medical treatments related to Neurology. The NPI Number for Peter Thibodeau is 1114952629. The last update date is 2007-07-08.
Peter Thibodeau's current location address is 3121 Park Ave, Soquel, California. You can contact this provider via phone number 8314622727. The mailing address for Peter Thibodeau is 3121 Park Ave, Soquel, California. To know further, please read the information below!
Provider Profile Detail
Provider Name | Peter Thibodeau |
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Address | 3121 Park Ave, Soquel, California |
Phone Number | 8314622727 |
Fax Number | |
Sole Proprietor | Y |
Credentials | D.C. |
NPI Number Detail
NPI Number | 1114952629 |
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Provider Enumeration Date | 2006-07-12 |
Last Updated Date | 2007-07-08 |
Provider Mailing Address Detail
Address | 3121 Park Ave |
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City | Soquel |
State | California (CA) |
Post Code | 950732920 |
Phone Number | 8314622727 |
Fax Number |
Provider's Primary Taxonomy Detail
Speciality | Neurology |
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Taxonomy | 111Nn0400X |
Licence No | DC10123 |
Definition: Chiropractic Neurology is defined as the field of functional neurology that engages the internal - and external environment of the individual in a structured and targeted approach to affect positive changes in the nervous system and consequently the |
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What is the Peter Thibodeau's unique identification number?
The Peter Thibodeau has been assigned the NPI (National Provider Identifier) Number 1114952629 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code serves as a unique identifier for the organization.
Could you provide the complete address where Peter Thibodeau is physically located?
The Peter Thibodeau is situated at the following address: 3121 Park Ave, Soquel, CA 950732920.
What is Peter Thibodeau's area of expertise and its corresponding taxonomy classification?
The Peter Thibodeau's field of specialization is Neurology, and it falls under the taxonomy code 111Nn0400X, which categorizes healthcare providers based on their areas of practice.
On what date did Peter Thibodeau receive its 1114952629 assignment from the Centers for Medicare & Medicaid Services?
The Peter Thibodeau was assigned its 1114952629 on 2006-07-12, which is the date when this unique identifier was issued to the organization by the Centers for Medicare & Medicaid Services.
As of what date was the information regarding Peter Thibodeau, such as address, specialty, and other details, last verified and confirmed to be up-to-date?
The information related to Peter Thibodeau, including its address, specialty, and other relevant details, was last verified and confirmed to be up-to-date on 2007-07-08.