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Charles J Peterson Dc Pc
Chiropractor in Shenandoah, Iowa
NPI 1083687636

Charles J Peterson Dc Pc is a Chiropractor based in Shenandoah, IA. Charles J Peterson Dc Pc practices in Shenandoah, IA. The NPI Number for Charles J Peterson Dc Pc is 1083687636 and holds a License No. 04065 (Iowa).

The current practice location address for Charles J Peterson Dc Pc is 1203 W Sheridan Ave, Shenandoah, IA and can be reached out via phone at 712-246-4798 and via fax at 712-246-5613.

Location: 1203 W Sheridan Ave, Shenandoah, IA, 51601
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1083687636
Provider Name
Charles J Peterson Dc Pc
Credential
Provider Entity Type
Organization
Address
1203 W Sheridan Ave, Shenandoah, IA, 51601
Phone Number
712-246-4798
Fax Number
712-246-5613
Provider Enumeration Date
02/13/2006
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
01527 01 IA WELLMARK
0015271 05 IA
institution
Provider Business Practice Location Address Details
Address
1203 W Sheridan Ave
City
Shenandoah
State
Iowa
Zip
51601
Phone Number
712-246-4798
Fax Number
712-246-5613
person
Provider Business Mailing Address Details
Address
1203 W Sheridan Ave
City
Shenandoah
State
Iowa
Zip
51601
Phone Number
712-246-4798
Fax Number
712-246-5613
person
Provider's Taxonomy Details 1
Type
Chiropractic Providers
Classification
Chiropractor
Speciality
-
Taxonomy
111N00000X
License No.
04065 (Iowa)
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.
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