Robert Todd Petersen in Dallas - Sports Physician
Robert Todd Petersen - NPI 1811917172
Robert Todd Petersen is a Sports Physician in Dallas, Texas. Robert Todd Petersen practices all healthcare services and medical treatments related to Sports Physician. The NPI Number for Robert Todd Petersen is 1811917172. The last update date is 2014-10-30.
Robert Todd Petersen's current location address is 3408 Milton Ave, Dallas, Texas. You can contact this provider via phone number 2147392225 and fax number 2147392228. The mailing address for Robert Todd Petersen is 3408 Milton Ave, Dallas, Texas. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Robert Todd Petersen |
|---|---|
| Address | 3408 Milton Ave, Dallas, Texas |
| Phone Number | 2147392225 |
| Fax Number | 2147392228 |
| Sole Proprietor | Y |
| Credentials | DC, OPAC, |
NPI Number Detail
| NPI Number | 1811917172 |
|---|---|
| Provider Enumeration Date | 2006-07-20 |
| Last Updated Date | 2014-10-30 |
Provider Mailing Address Detail
| Address | 3408 Milton Ave |
|---|---|
| City | Dallas |
| State | Texas (TX) |
| Post Code | 752051338 |
| Phone Number | 2147392225 |
| Fax Number | 2147392228 |
Provider's Primary Taxonomy Detail
| Speciality | Sports Physician |
|---|---|
| Taxonomy | 111Ns0005X |
| Licence No | 9289 |
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Definition: A sports chiropractor is uniquely trained to provide care and treatment of injuries or illness resulting from sports and physical fitness activities. Doctors of Chiropractic with the Diplomate American Chiropractic Board of Sports Physicians (DACBSP) |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 607194 | TX | BCBS ID NUMBER |
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What is the unique identification code assigned to Robert Todd Petersen by the Centers for Medicare & Medicaid Services?
The Robert Todd Petersen has been issued the NPI (National Provider Identifier) 1811917172. This 10-digit code serves as a unique identifier for healthcare providers, assigned by the Centers for Medicare & Medicaid Services (CMS).
What is the unique 10-digit identifier code assigned to Robert Todd Petersen by the Centers for Medicare & Medicaid Services?
The Robert Todd Petersen has been issued the NPI (National Provider Identifier) 1811917172 by the CMS (Centers for Medicare & Medicaid Services), which serves as a unique identification number for healthcare providers.
What is Robert Todd Petersen's specialized area of practice, and what is the corresponding taxonomy classification code for this field?
The Robert Todd Petersen's specialized field of practice is Sports Physician, and the corresponding taxonomy code that categorizes this area of specialization is 111Ns0005X.
What is Robert Todd Petersen's primary field of medical specialization, and what is the corresponding taxonomy classification code for this area of expertise?
The primary field of medical specialization for Robert Todd Petersen is Sports Physician, and the taxonomy classification code that categorizes this area of expertise is 111Ns0005X.
On what date did the Centers for Medicare & Medicaid Services assign the 1811917172 to Robert Todd Petersen?
The Centers for Medicare & Medicaid Services assigned the 1811917172 to Robert Todd Petersen on 2006-07-20.