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Contact Information

MICHAEL L PETERSON, D.C.
6808 S MEMORIAL DR STE 100
TULSA, OK74133-2066
 Phone: 918-481-0655
 Fax: 918-481-8729
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Sports Physician

111NS0005X 35 Chiropractic
Indicates primary specialty

NPI Profile & details for MICHAEL L PETERSON · (Male)

NPI Number 1699882514
Status Active
Credentials D.C. (Doctor of Chiropractic)
Entity Individual
Enumeration date 08/24/2006
Last updated 11/24/2009 - About 17 years ago
Sole proprietor 1 No
Identifiers
  • OK License # 3020
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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