Individual
CARL R PETERSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.C.
Contact information
Practice address
113 CENTRAL AVE, COON VALLEY CHIROPRACTIC, COON VALLEY, WI 54623
(608) 452-2525
(608) 452-2526
Mailing address
113 CENTRAL AVE, COON VALLEY CHIROPRACTIC, COON VALLEY, WI 54623
(608) 452-2525
(608) 452-2526
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
3132
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0006
MEDICARE SEQUENCE #
WI
01
—
263J1PE
BC/BS MN #
MN
01
—
350041526
RR MEDICARE #
WI
05
—
38880400
—
WI
Enumeration date
03/31/2006
Last updated
02/06/2012
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Contact us