Peterson, Erick Allen

Peterson, Erick Allen is an individual health care provider with primary practice located at 816 Broad St , Durham NC 27705-4148. He recently has only one registered license in Chiropractic Providers / Chiropractor, which is considered as his primary health care specialty. Peterson, Erick Allen can be contacted via phone (919) 286-7202.

Contact Information

Primary practice address
816 Broad St Durham NC 27705-4148
Phone: (919) 286-7202
Fax: (919) 287-2302
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Chiropractic Providers / Chiropractor 111N00000X 2865 North Carolina

Profile Details

NPI number 1902842123
LBN Legal business name Peterson, Erick Allen
Credentials DC, CCSP
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 22nd, 2006
Last updated Jul 8th, 2007 - about 17 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 1902842123 NPPES
North Carolina MEDICAID 89085AH
North Carolina Other 085AH

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