# PELTIER CHIROPRACTIC CENTER LLC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1780710053
- **Authorized official:** DR. DAVID PELTIER D,C. (DOCTOR)
- **Authorized official phone:** (740) 389-3330

## Contact information

- **Practice address:** 355 BARKS RD E, MARION, OH 43302-6511
- **Practice address phone:** (740) 389-3330
- **Practice address fax:** (740) 389-6880
- **Mailing address:** 355 BARKS RD E, MARION, OH 43302-6511
- **Mailing address phone:** (740) 389-3330
- **Mailing address fax:** (740) 389-6880

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 111N00000X | Chiropractor | 1614 | OH | Yes |

## Other

- **Enumeration date:** 02/23/2007
- **Last updated:** 08/22/2020

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 05 | — | 0853821 | — | OH |
| 01 | — | 137413 | ANTHEM | OH |
| 01 | — | 279647570003 | MED MUTUAL | OH |