Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

DR. DOUGLAS JED PETERSON, D.C.

Active Sole Proprietor

DR. DOUGLAS JED PETERSON, D.C. is a Chiropractor healthcare provider located in SHELLEY, Idaho. NPI 1023142585 is currently active in the NPPES registry. Verify at CMS.

Chiropractor · SHELLEY, ID

Registration Details

NPI Number: 1023142585
Provider Type: Individual
Gender: Male
NPI Issued: Mar 15, 2007 (19.398444858085 yrs)
Last Updated: Jul 9, 2007
License: CHIA-855 (ID)
Sole Proprietor: Yes

Practice Information

Address: 650 N STATE ST

SUITE #1

SHELLEY, ID, 832745167
Browse ID providers · Browse ZIP 83274
Phone: 2083572225
Fax: 2083572224
Primary Specialty: Chiropractor
111N00000X

Other Chiropractor Providers in SHELLEY, ID

Name	Credential	NPI
DR. TRAVIS R WILKINS	D.C.	1962436253
DR. AARON WALTER NIPPERT	D.C.	1093968745
DR. BRENNAN TODD WILLIAMS	D.C.	1811228521
DR. JORDAN DANIEL KECK	DC	1871950998
RANDALL SEARLE	DC	1043724990
DR. KADE KECK	DC	1346838232

Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.