Peterson, Carl R

Peterson, Carl R is an individual health care provider with primary practice located at 113 Central Ave Coon Valley Chiropractic, Coon Valley WI 54623. He recently has only one registered license in Chiropractic Providers / Chiropractor, which is considered as his primary health care specialty. Peterson, Carl R can be contacted via phone (608) 452-2525.

Contact Information

Primary practice address
113 Central Ave Coon Valley Chiropractic Coon Valley WI 54623
Phone: (608) 452-2525
Fax: (608) 452-2526
Website:
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Health care specialties

SpecialtyCodeLicense #State
Chiropractic Providers / Chiropractor 111N00000X 3132 Wisconsin

Profile Details

NPI number 1144281684
LBN Legal business name Peterson, Carl R
Credentials Doctor of Chiropractic (DC)
Entity Individual
Sole proprietor 1 No
Enumeration date Mar 31st, 2006
Last updated Feb 6th, 2012 - about 14 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 1144281684 NPPES
Minnesota Other 263J1PE BC/BS MN #
Minnesota Other 350041526 BC/BS MN #
Minnesota MEDICAID 38880400 BC/BS MN #
Minnesota Other 0006 BC/BS MN #

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