DAVID FREDERICK PETTERS D.C. NPI 1104905512

NPI Information

NPI: 1104905512
Provider Name: DAVID FREDERICK PETTERS, D.C.
Classification: Chiropractor - 111N00000X
Entity Type: Individual
Address:
1342 NEW SENECA TPKE
SKANEATELES, NY
ZIP 13152
Phone: (315) 685-0710
Get Directions

David Frederick Petters, D.C. is a chiropractor in Skaneateles, NY. 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. David Frederick Petters, D.C. NPI is 1104905512. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

The provider's business location address is:

1342 NEW SENECA TPKE
SKANEATELES, NY
ZIP 13152-802
Phone: (315) 685-0710
Fax: (315) 685-8794

The enumeration date for this NPI number is 11/4/2006 and was last updated on 7/8/2007.

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		4856	NEW YORK	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	CO 4856-3	OTHER	NEW YORK	WORKERS' COMPENSATION
2	51235B	MEDICARE ID-TYPE UNSPECIFIED	NEW YORK

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: 4/28/2024

NPI Synchronization or Removal

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