100 Percent Chiropractic Pueblo One
Organization Active NPI Chiropractor · Pueblo West, CO
NPI 1962863068 · NPPES record last updated Mar 16, 2016
Key facts
- NPI
- 1962863068
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Chiropractor 111N00000X
- License
- 0007367 (CO)
- Legal business name
- 100 PERCENT CHIROPRACTIC PUEBLO ONE
- Practice address
- 1021 N Market PLZ
102
Pueblo West, CO 81007-1531 - Phone
- (719) 251-7708
- NPI assigned
- Mar 16, 2016
- Organization subpart
- No
Authorized official
- Name
- Dr. Michael Peterson, D.C.
- Title
- Owner/Manager
- Phone
- (719) 251-7708
National Provider Directory
Locations
1021 N Market Plz
Ste 102
Pueblo West, CO 81007
Phone (719) 406-4269
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Chiropractor |
111N00000X | 0007367 | CO | Yes |
Addresses
Primary practice location
1021 N Market PLZ
102
Pueblo West, CO 81007-1531
Mailing address
1021 N Market PLZ
102
Pueblo West, CO 81007-1531
Phone (719) 251-7708
Other providers in Pueblo West, CO
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Mar 16, 2016. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.