Peterson Chiropractic, Pc

LBN: Peterson Chiropractic, Pc
Peterson Chiropractic, Pc is an health care organization with primary practice located at 635 Fulton St , Grand Haven MI 49417-1237. The organization recently has only one registered license in Chiropractic Providers / Chiropractor, which is considered as the primary health care specialty. Peterson Chiropractic, Pc can be contacted via phone (616) 842-9411, or through Peterson, Mary via phone (616) 842-9411.

Contact Information

Primary practice address
635 Fulton St Grand Haven MI 49417-1237
Fax: (616) 842-9058
Website:
Authorized official contact:
Name: Peterson, Mary Doctor of Chiropractic (DC)

Health care specialties

SpecialtyCodeLicense #State
Chiropractic Providers / Chiropractor 111N00000X 2301007900 Michigan

Profile Details

NPI number 1962697672
LBN Legal business name Peterson Chiropractic, Pc
DBA Doing business as
Authorized official Peterson, Mary Doctor of Chiropractic (DC)
Entity Organization
Organization subpart 1 No
Enumeration date Sep 6th, 2007
Last updated Sep 6th, 2007 - about 17 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1962697672 NPPES
Michigan Other 0N94490 MEDICARE GROUP NUMBER

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