Peters, Timothy J

Peters, Timothy J is an individual health care provider with primary practice located at 562 12Th St W , Dickinson ND 58601-3509. He recently has only one registered license in Chiropractic Providers / Chiropractor, which is considered as his primary health care specialty. Peters, Timothy J can be contacted via phone (701) 483-1104.

Contact Information

Primary practice address
562 12Th St W Dickinson ND 58601-3509
Phone: (701) 483-1104
Fax: (701) 483-1443
Website:
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Health care specialties

SpecialtyCodeLicense #State
Chiropractic Providers / Chiropractor 111N00000X 564 North Dakota

Profile Details

NPI number 1124137955
LBN Legal business name Peters, Timothy J
Credentials Doctor of Chiropractic (DC)
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 29th, 2006
Last updated Dec 1st, 2008 - about 18 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1124137955 NPPES
North Dakota MEDICAID 17920
North Dakota Other 12125

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