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Organization Active NPI

Peterson Chiropractic Family Wellness Centre, S.C.

Doing business as Peterson Chiropractic

  • Orthopedic Chiropractor
  • Oconto, WI
National Provider Identifier
1891977930
Registry record updated Jul 3, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Orthopedic ChiropractorTaxonomy code 111NX0800X
License
1530 Issued in WI
Legal business name
PETERSON CHIROPRACTIC FAMILY WELLNESS CENTRE, S.C.
Doing business as
Peterson Chiropractic
Practice address
344 McDonald St
Oconto, WI 54153-1152
Phone
(920) 834-2888
Fax
(920) 834-4011
NPI assigned
Nov 30, 2007
Last updated
Jul 3, 2008By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 3, 2008

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Loyal S. Peterson, D.C., D.A.B.C. O.
Title
Owner
Phone
(920) 834-2888

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Orthopedic Chiropractor 111NX0800X 1530 WI Primary

Addresses

Primary practice location

344 McDonald St
Oconto, WI 54153-1152

Mailing address

344 McDonald St
Oconto, WI 54153-1152
Phone (920) 834-2888

Other names 1

  • Peterson Chiropractic Doing business as

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 5

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1196380800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1215043200000",
    "number": "1891977930",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "344 MCDONALD ST",
            "city": "OCONTO",
            "state": "WI",
            "postal_code": "541531152",
            "telephone_number": "920-834-2888",
            "fax_number": "920-834-4011"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "344 MCDONALD ST",
            "city": "OCONTO",
            "state": "WI",
            "postal_code": "541531152",
            "telephone_number": "920-834-2888",
            "fax_number": "920-834-4011"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PETERSON CHIROPRACTIC FAMILY WELLNESS CENTRE, S.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-11-30",
        "last_updated": "2008-07-03",
        "status": "A",
        "authorized_official_last_name": "PETERSON",
        "authorized_official_first_name": "LOYAL",
        "authorized_official_middle_name": "S.",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "920-834-2888",
        "authorized_official_credential": "D.C., D.A.B.C. O."
    },
    "taxonomies": [
        {
            "code": "111NX0800X",
            "taxonomy_group": "",
            "desc": "Chiropractor, Orthopedic",
            "state": "WI",
            "license": "1530",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Peterson Chiropractic",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Oconto, WI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 3, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.