MR. MICHAEL FRED PERETTI DC NPI 1497765747

NPI Information

NPI: 1497765747
Provider Name: MR. MICHAEL FRED PERETTI, DC
Classification: Chiropractor - 111N00000X
Entity Type: Individual
Address:
7000 SOUTH AVE
SUITE 7
BOARDMAN, OH
ZIP 44512
Phone: (330) 629-8834
Get Directions

MR. Michael Fred Peretti, DC is a chiropractor in Boardman, OH. 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. MR. Michael Fred Peretti, DC NPI is 1497765747. 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:

7000 SOUTH AVE
SUITE 7
BOARDMAN, OH
ZIP 44512-644
Phone: (330) 629-8834
Fax: (330) 629-9362

The enumeration date for this NPI number is 8/9/2006 and was last updated on 10/16/2007.

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		1754	OHIO	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
1	0926289	MEDICAID	OHIO
2	U42020	MEDICARE UPIN	OHIO
3	PE0738512	MEDICARE PIN	OHIO

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: 11/14/2023

NPI Synchronization or Removal

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