Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
DR. PETER THIBODEAU, D.C.
Active Sole ProprietorDR. PETER THIBODEAU, D.C. is a Neurology (Chiropractor) healthcare provider located in SOQUEL, California. NPI 1114952629 is currently active in the NPPES registry. Verify at CMS.
Neurology (Chiropractor) · SOQUEL, CA
Registration Details
- NPI Number
- 1114952629
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Jul 12, 2006 (20.133287362503 yrs)
- Last Updated
- Jul 8, 2007
- License
-
DC10123 (CA)
- Sole Proprietor
- Yes
Practice Information
- Address
-
3121 PARK AVEBSOQUEL, CA, 950732920Browse CA providers · Browse ZIP 95073
- Phone
- 8314622727
- Primary Specialty
-
Neurology (Chiropractor)
111NN0400X
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.