Active NPIIndividual providerSole proprietor

Dr. Nickalos L Peterson, DC

Chiropractor in Ridgefield, Connecticut

NPI Number1598864282
Practice location
31 Bailey Ave, Ridgefield, CT 06877-4533
Fax
203-438-7141
Last updated
July 8, 2007

Nickalos Lee Peterson is a Chiropractor based in Ridgefield, CT. Nickalos Lee Peterson practices in Ridgefield, CT and has the professional credentials of DC. The NPI Number for Nickalos Lee Peterson is 1598864282 and holds a License No. 180 (CT). The current practice location address for Nickalos Lee Peterson is 31 Bailey Ave, Ridgefield, CT 06877-4533 and can be reached out via phone at 203-438-9609 and via fax at 203-438-7141.

Provider Profile Details

NPI Number
1598864282
Provider Name
Nickalos Lee Peterson
Credential
DC
Provider Entity Type
Individual
Gender
Male
Address
31 Bailey Ave, Ridgefield, CT 06877-4533
Phone Number
203-438-9609
Fax Number
203-438-7141
Primary Taxonomy
Chiropractor · 111N00000X
Sole Proprietor
Yes
Provider Enumeration Date
September 21, 2006
Last Update Date
July 8, 2007
NPI Status
Active

Provider Business Practice Location Address Details

Address
31 Bailey Ave
Ridgefield, CT 06877-4533
Zip
06877-4533
Phone Number
203-438-9609
Fax Number
203-438-7141
Ridgefield, CT 06877Get directions →

Provider Business Mailing Address Details

Address
31 Bailey Ave
Ridgefield, CT 06877-4533
City
Ridgefield
State
CT
Zip
06877-4533
Phone Number
203-438-9609
Fax Number
203-438-7141

License Information

License Number
180
License State
CT
Taxonomy
Chiropractor · 111N00000X · Primary

Legacy Identifiers

IdentifierTypeStateIssuer
No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider.

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Frequently Asked Questions

What is the NPI number of Dr. Nickalos L Peterson, DC?

The NPI number of Dr. Nickalos L Peterson, DC is 1598864282. It was assigned on September 21, 2006 and is currently active in the NPPES registry.

What is the specialty of Dr. Nickalos L Peterson, DC?

Dr. Nickalos L Peterson, DC is registered under the primary taxonomy Chiropractor (code 111N00000X), licensed in CT under license number 180.

Where does Dr. Nickalos L Peterson, DC practice?

The practice location is 31 Bailey Ave, Ridgefield, CT 06877-4533. The office can be reached at 203-438-9609 (phone) or 203-438-7141 (fax).

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). It is used in HIPAA standard transactions.

How do I verify this NPI record?

This record is sourced from the public NPPES NPI Registry maintained by CMS. You can confirm it by searching NPI 1598864282 directly on the NPPES registry website.

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