DR. JULIE PETERSON DC NPI 1629035167

NPI Information

NPI: 1629035167
Provider Name: DR. JULIE PETERSON, DC
Classification: Chiropractor - 111N00000X
Entity Type: Individual
Address:
7504 86TH STREET SW, SUITE 150
VITAL FAMILY CHIROPRACTIC
LAKEWOOD, WA
ZIP 98498
Phone: (843) 200-9400
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DR. Julie Peterson, DC is a chiropractor in Lakewood, WA with 28 years of experience. The provider is a provider qualified by a Doctor of Chiropractic (D.C.), licensed by the State and who practices chiropractic medicine -that discipline within the healing arts which deals with the nervous system and its relationship to the spinal column and its interrelationship with other body systems. DR. Julie Peterson, DC NPI is 1629035167. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

Education
Medical School: LINCOLN CHIROPRACTIC COLLEGE
Graduation Year:1996

The provider's business location address is:

7504 86TH STREET SW, SUITE 150
VITAL FAMILY CHIROPRACTIC
LAKEWOOD, WA
ZIP 98498
Phone: (843) 200-9400
Fax: (888) 411-8529

The enumeration date for this NPI number is 4/27/2006 and was last updated on 11/23/2016.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	111N00000X	Chiropractor		2166	SOUTH CAROLINA	No
2	111N00000X	Chiropractor		CH60191318	WASHINGTON	Yes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	U7089	OTHER	SOUTH CAROLINA	UPIN
2	U708910281	MEDICARE ID-TYPE UNSPECIFIED	SOUTH CAROLINA
3	CH2167	MEDICAID	SOUTH CAROLINA
4	G8915551	MEDICARE UPIN	WASHINGTON

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 5/5/2024

NPI Synchronization or Removal

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