Peterson Health Clinic Llc

LBN: Peterson Health Clinic Llc
Peterson Health Clinic Llc is an health care organization with primary practice located at 815 Lincoln Highway Suite 109, Fairview Heights IL 62208. The organization recently has only one registered license in Chiropractic Providers / Chiropractor, which is considered as the primary health care specialty. Peterson Health Clinic Llc can be contacted via phone (618) 589-3911, or through Peterson, Ronald G via phone (618) 589-3911.

Contact Information

Primary practice address
815 Lincoln Highway Suite 109 Fairview Heights IL 62208
Phone: (618) 589-3911
Fax: (618) 589-3912
Website:
Map and Directions
Authorized official contact:
Name: Peterson, Ronald G Doctor of Chiropractic (DC)
Phone: (618) 589-3911

Health care specialties

SpecialtyCodeLicense #State
Chiropractic Providers / Chiropractor 111N00000X 248.000537 Illinois
Chiropractic Providers / Chiropractor 111N00000X 038.012069 Illinois

Profile Details

NPI number 1376813378
LBN Legal business name Peterson Health Clinic Llc
DBA Doing business as
Authorized official Peterson, Ronald G Doctor of Chiropractic (DC)
Entity Organization
Organization subpart 1 No
Enumeration date Jan 6th, 2012
Last updated Dec 15th, 2015 - about 10 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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