Peterson, Brad Niel

Peterson, Brad Niel is an individual health care provider with primary practice located at 10358 S Redwood Rd , South Jordan UT 84095-9339. He recently has only one registered license in Chiropractic Providers / Chiropractor, which is considered as his primary health care specialty. Peterson, Brad Niel can be contacted via phone (801) 254-9400.

Contact Information

Primary practice address
10358 S Redwood Rd South Jordan UT 84095-9339
Phone: (801) 254-9400
Fax: (801) 254-5739
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Chiropractic Providers / Chiropractor 111N00000X 176210-1202 Utah

Profile Details

NPI number 1659390417
LBN Legal business name Peterson, Brad Niel
Credentials Doctor of Chiropractic (DC)
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 19th, 2006
Last updated Dec 16th, 2010 - about 14 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1659390417 NPPES
Utah Other 612239 UNITED HEALTHCARE
Utah MEDICAID 870503754002 UNITED HEALTHCARE

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