A provider qualified by a Doctor of Chiropractic (D.C.), licensed by the State and who practices chiropractic medicine -that discipline within the healing arts which deals with the nervous system and its relationship to the spinal column and its interrelationship with other body systems.
| Specialty | Taxonomy Code | |
|---|---|---|
| * | Chiropractor | 111N00000X |
* Indicates primary specialty
| NPI Number | 1023324597 |
| Legal business name LBN |
PETERSEN CHIROPRACTIC LLC |
| Authorized official | CLINTON PETERSEN - (DOCTOR/OWNER) |
| Entity | Organization |
| Organization subpart | No |
| Enumeration date | 08/23/2010 |
| Last updated | 08/23/2010 - About 16 years ago |
| Sole proprietor1 | Not specified |
| Identifiers |
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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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