Peterson, Nickalos Lee

Peterson, Nickalos Lee is an sole proprietor health care provider with primary practice located at 31 Bailey Ave , Ridgefield CT 06877-4533. He recently has only one registered license in Chiropractic Providers / Chiropractor, which is considered as his primary health care specialty. Peterson, Nickalos Lee can be contacted via phone (203) 438-9609.

Contact Information

Primary practice address
31 Bailey Ave Ridgefield CT 06877-4533
Phone: (203) 438-9609
Fax: (203) 438-7141
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Chiropractic Providers / Chiropractor 111N00000X 180 Connecticut

Profile Details

NPI number 1598864282
LBN Legal business name Peterson, Nickalos Lee
Credentials Doctor of Chiropractic (DC)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Sep 21st, 2006
Last updated Jul 8th, 2007 - about 19 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 1598864282 NPPES
Connecticut Other P405105 OXFORD PROVIDER ID NUMBER
Connecticut Other 4380815 OXFORD PROVIDER ID NUMBER
Connecticut Other 050000180CT01 OXFORD PROVIDER ID NUMBER
Connecticut Other LANDMARK /HEALTH NET OXFORD PROVIDER ID NUMBER
Connecticut Other 9323280003 OXFORD PROVIDER ID NUMBER
Connecticut Other 0114667 OXFORD PROVIDER ID NUMBER

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