Gary L. Peterson D.C.Pa
LBN: Gary L. Peterson D.C.Pa
Gary L. Peterson D.C.Pa is an health care organization with primary practice located at 7100 Menaul Blvd Ne , Albuquerque NM 87110-3688. The organization recently has only one registered license in Chiropractic Providers / Chiropractor, which is considered as the primary health care specialty.
Gary L. Peterson D.C.Pa can be contacted via phone (505) 883-5858, or through Petersn, Gary Lee via phone (505) 883-5858.
Contact Information
Primary practice address
7100 Menaul Blvd Ne
Albuquerque NM 87110-3688
Phone: (505) 883-5858
Fax: (505) 883-0010
Website:
Authorized official contact:
Name: Petersn, Gary Lee Doctor of Chiropractic (DC)
Phone: (505) 883-5858
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Chiropractic Providers / Chiropractor | 111N00000X |
Profile Details
| NPI number | 1871859249 |
|---|---|
| LBN Legal business name | Gary L. Peterson D.C.Pa |
| DBA Doing business as | |
| Authorized official | Petersn, Gary Lee Doctor of Chiropractic (DC) |
| Entity | Organization |
| Organization subpart 1 | No |
| Enumeration date | Apr 10th, 2012 |
| Last updated | Apr 10th, 2012 - about 14 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1871859249 | NPPES |
| New Mexico | MEDICAID | K7169 |
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