MARYPAT C PETERSON (NPI# 1861504896) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1861504896 |
| Entity Type | Individual |
| Full Name | MARYPAT C PETERSON |
| Credential | D.C. |
| Practice Address |
113 Central Ave Coon Valley WI 54623-8039 |
| Practice Telephone | 6084522525 |
| Practice Fax Number | 6084522526 |
| Mailing Telephone | 6084522525 |
| Mailing Fax Number | 6084522526 |
| Enumeration Date | 2006-08-31 |
| Last Update Date | 2013-04-12 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 111N00000X | Chiropractor | 3133-012 | WI | Chiropractic Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| WI | 38880300 | 05 |
| Street Address |
113 CENTRAL AVE |
| City | COON VALLEY |
| State | WI |
| Zip Code | 54623-8039 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1760848576 | Mark Westphal | Chiropractor | 113 Central Ave, Coon Valley, WI 54623-8039 | 2016-01-08 |
| 1275610222 | Coon Valley Chiropractic S.c. | Chiropractor | 113 Central Ave, Coon Valley, WI 54623-8039 | 2006-11-01 |
| 1144281684 | Carl R Peterson | Chiropractor | 113 Central Ave, Coon Valley Chiropractic, Coon Valley, WI 54623 | 2006-03-31 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1588074314 | Judith Lee Alf | Registered Nurse | 98 Bothne Dr, Coon Valley, WI 54623-9705 | 2014-05-01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1588074314 | Judith Lee Alf | Registered Nurse | 98 Bothne Dr, Coon Valley, WI 54623-9705 | 2014-05-01 |
| 1144281684 | Carl R Peterson | Chiropractor | 113 Central Ave, Coon Valley Chiropractic, Coon Valley, WI 54623 | 2006-03-31 |
| Taxonomy Code | 111N00000X |
| Grouping | Chiropractic Providers |
| Classification | Chiropractor |
| 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. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1760848576 | Mark Westphal | Chiropractor | 113 Central Ave, Coon Valley, WI 54623-8039 | 2016-01-08 |
| 1275610222 | Coon Valley Chiropractic S.c. | Chiropractor | 113 Central Ave, Coon Valley, WI 54623-8039 | 2006-11-01 |
| 1144281684 | Carl R Peterson | Chiropractor | 113 Central Ave, Coon Valley Chiropractic, Coon Valley, WI 54623 | 2006-03-31 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1518567668 | Zachary Arnold Wickert | Chiropractor | N144w6220 Pioneer Rd, Cedarburg, WI 53012-2723 | 2020-10-28 |
| 1215537501 | Seek Chiropractic LLC | Chiropractor | 405 S Farwell St Ste 21, Eau Claire, WI 54701-2701 | 2020-10-27 |
| 1043819824 | Courtney Helen Slaby | Chiropractor | 559 Braund St Ste 3, Onalaska, WI 54650-8659 | 2020-10-22 |
| 1548869423 | Journey Chiropractic LLC | Chiropractor | 101 E Sadd St, North Prairie, WI 53153-9775 | 2020-10-21 |
| 1154929909 | Water City Care Mission, Inc. | Chiropractor | 449 High Ave., Oshkosh, WI 54901-4708 | 2020-10-14 |
| 1366049793 | Phoenix Chiropractic and Wellness, LLC | Chiropractor | 250 N Green Bay Rd Unit D, Neenah, WI 54956-2285 | 2020-10-08 |
| 1598371668 | Michael Allen Markowski | Chiropractor | 1632 N 18th St # 1, Manitowoc, WI 54220-1858 | 2020-09-23 |
| 1801408687 | Chiro One Wellness Center of Pleasant Prairie LLC | Chiropractor | 9755 76th St Ste 730, Pleasant Prairie, WI 53158-1925 | 2020-08-21 |
| 1972115186 | Shelby Chapelle | Chiropractor | 1711 Green Bay Rd Ste C, Kenosha, WI 53144-1209 | 2020-08-19 |
| 1659981801 | Reince Chiropractic LLC | Chiropractor | 13382 Velp Ave Ste A, Suamico, WI 54313-8191 | 2020-08-03 |
| Find all providers with the same taxonomy | ||||
| City | COON VALLEY |
| Zip Code | 54623 |
Please comment or provide details below to improve the information on MARYPAT C PETERSON.
| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.