Jordan Matthew Peterson
Chiropractor
103 N 1st St
Elma
, Washington 98541-9854
Jordan Matthew Peterson
Chiropractor
103 N 1st St
Elma
, Washington 98541-9854
(360) 482-4155
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About
Features
Specialties
- Chiropractor
Languages spoken
- English
Location
First Address
- Jordan Matthew Peterson
- Po Box 656
- Elma, WA
- Zip : 98541-0656
- Fax : (360) 482-4155
- Phone : (360) 482-5155
Second Address
- Jordan Matthew Peterson
- 103 N 1st St
- Elma, WA
- Zip : 98541-9854
- Phone : (360) 482-5155
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| Y | 111N00000X | Chiropractor | CH60990272 | WA |
National Provider Identifier
| NPI | 1003457466 |
|---|---|
| Provider Name | Jordan Matthew Peterson |
| First Address | Elma, WA 98541-0656 |
| Second Address | Elma, WA 98541-9854 |
| Gender | M |
| NPI Entity type | Individual |
| Is Sole Proprietor | No |
| Is Organization Subpart | N/A |
| Enumeration Date | 07/10/2019 |
| Last Update Date | 07/10/2019 |
NPI Footnotes
What is the National Provider Identifier (NPI)
Provider Location Address
Provider Mailing Address
Entity Type Code
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)
What is a Subpart?
Provider Other Organization Name
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.