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 | Specialty Code | Provider Type | |
Chiropractor |
111N00000X | 35 | Chiropractic |
| NPI # | 1851904023 |
| LBN Legal business name | 100 CHIRO PETERSON THREE LLC |
| Authorized official | MICHAEL PETERSON - (OWNER) |
| Entity | Organization |
| Organization subpart 1 | No |
| Enumeration date | 08/28/2020 |
| Last updated | 08/28/2020 - About 6 years ago |
| Identifiers | n/a |
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