Dr. Nickalos Lee Peterson is a Ridgefield, Connecticut based male chiropractor with 48 years of experience in General Chiropractor. He completed his graduation from National College Of Chiropractic in 1976. He may accept the Medicare-approved amount. Patients may be billed for more than the Medicare deductible and coinsurance. Active license number of Dr. Nickalos Lee Peterson as General Chiropractor is 180 in Connecticut. Dr. Nickalos Lee Peterson is qualified as 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.
Complete Profile:
Dr. Nickalos Lee Peterson speciality, credentials, practice address, contact phone number and fax are as below.
Patients can directly walk in or can call on the below given phone number for appointment.
NPI number stands for National Provider Identifier which is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS).
NPI details are as mentioned below.
PAC ID:
1052488533
Enrollment ID:
I20080925000182
NPI Number:
1598864282
NPI Enumeration Date:
21 Sep, 2006
NPI Last Update On:
08 Jul, 2007
Medical Licenses:
Doctors can have one or more medical licenses for different specialities in the same state or different states. Related medical licenses for Dr. Nickalos Lee Peterson are as mentioned below.
License Number
Specialization
State
Status
180
Chiropractor
Connecticut
Primary
Other Medical Identifiers:
Other legacy medical identifiers associated with Dr. Nickalos Lee Peterson such as Medicaid, Medicare PIN, NSC, UPIN etc. are mentioned as below.
Identifier
Type
State
Issuer
P405105
Other
Connecticut
OXFORD PROVIDER ID NUMBER
4380815
Other
Connecticut
AETNA PPO ID NUMBER
050000180CT01
Other
Connecticut
ANTHEM BC/BS ID PROVIDER
LANDMARK /HEALTH NET
Other
Connecticut
CT00180 PROVIDER ID#
9323280003
Other
Connecticut
CIGNA PROVIDER ID NUMBER
0114667
Other
Connecticut
AETNA HMO ID NUMBER
Business Mailing Address:
Business mailing address can be used for mailing purpose only, for visiting purpose patients need to refer above mentioned address.
Address:
31 Bailey Ave, Ridgefield, Connecticut
Zip:
06877-4533
Phone Number:
203-438-9609
Fax Number:
203-438-7141
Patients can reach Dr. Nickalos Lee Peterson at 31 Bailey Ave, Ridgefield, Connecticut or can call to book an appointment on 203-438-9609. Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES. Last updated on 11 March, 2024.