Organization Name: | PETERS CHIROPRACTIC PC |
NPI Number: | 1598918195 |
Entity Type Code: | Organizational (2) |
Authorized Official Name: | DAVID CLIFFORD PETERS (CEO) |
Mailing Address: | 125 S Broadview St Ste 14 Cape Girardeau |
State: | MO US |
Postal Code: | 637035744 |
Phone Number: | 5733357011 |
Fax Number: | 5733358836 |
NPI Enumeration Date: | 10/28/2008 |
NPI Last Update Date: | 01/20/2016 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 111N00000X |
License Number: | 006557 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | MO |
Taxonomy Type: | Chiropractic Providers |
Taxonomy Classification: | Chiropractor |
Taxonomy Specialization: | |
Taxonomy Definition: | 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. |