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PETER CROCKER DC INC. NPI 1912180696


NPI Information

NPI: 1912180696
Provider Name: PETER CROCKER DC INC.

Doing Business As: TATUM CROSSING CHIROPRACTIC

Classification: Chiropractor - 111N00000X
Entity Type: Organization
Address:
29834 N CAVE CREEK RD
SUITE B110
CAVE CREEK, AZ
ZIP 85331
Phone: (480) 513-8900
Get Directions

PETER CROCKER DC INC. is a chiropractor in Cave Creek, AZ. 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. PETER CROCKER DC INC. NPI is 1912180696. The provider is registered as an organization entity type and is a single specialty group.
The provider Is Doing Business As Tatum Crossing Chiropractic.

The provider's business location address is:

29834 N CAVE CREEK RD
SUITE B110
CAVE CREEK, AZ
ZIP 85331-836
Phone: (480) 513-8900
Fax: (480) 513-9395

The provider's authorized official is Peter D Crocker .
The authorized official title is Owner and has the following contact phone number (480) 513-8900.

The enumeration date for this NPI number is 12/17/2007 and was last updated on 4/8/2008.


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 CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1111N00000XChiropractor5854ARIZONAYes

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 IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
173324OTHERARIZONAMEDICARE GROUP

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

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