Organization
CHICOINE PETERSON CHIROPRACTIC CLINIC
Active
Other names
Lin L. Peterson D.C. P.C.
Organization subpart
No
Provider details
NPI number
Authorized official
DR. LIN L PETERSON D.C. (OWNER)
(712) 276-9700
Entity
Organization
Contact information
Practice address
824 MORNINGSIDE AVE, SIOUX CITY, IA 51106-4801
(712) 276-9700
(712) 276-9409
Mailing address
824 MORNINGSIDE AVE, SIOUX CITY, IA 51106-4801
(712) 276-9700
(712) 276-9409
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
04630
IA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0162628
—
IA
01
—
16262
BCBS OF IOWA
IA
01
—
CP8154
PALMETTO GBA
IA
Enumeration date
02/28/2008
Last updated
07/07/2015
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