Jennifer Jill Petersen, D.C.

Chiropractor · Lakeville, MN

Individual Active NPI

NPI number 1124180104

Practice location

20730 Holyoke Ave
Suite 34
Lakeville, MN 55044
Phone
(952) 469-6016
Fax
(952) 469-4017

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NPI record

NPI
1124180104
Entity type
Individual (Type 1)
Enumeration date
December 15, 2006
Last updated
July 8, 2007
Sole proprietor
Yes

Specialties & taxonomy codes

TaxonomyCodeLicenseState
Chiropractor Primary 111N00000X 3661 MN

Mailing address

PO Box 154
Lakeville, MN 55044-0154
Phone
(952) 469-6016
Fax
(952) 469-4017

About Dr. Petersen

Jennifer Jill Petersen, D.C. is a healthcare provider registered in the NPI registry with the primary taxonomy Chiropractor (code 111N00000X). The practice location is 20730 Holyoke Ave, Suite 34, Lakeville, MN 55044. The NPI number 1124180104 was assigned on December 15, 2006 and the record was last updated on July 8, 2007.

Dr. Petersen lists a license in the registry: #3661 (MN) for Chiropractor. License numbers are self-reported to NPPES; verify them with the state licensing board.

Frequently asked questions

What is the NPI number of Jennifer Jill Petersen, D.C.?

The NPI number is 1124180104.

What is the phone number of Dr. Petersen?

The phone number listed for the practice location is (952) 469-6016.

Where is Dr. Petersen located?

20730 Holyoke Ave, Suite 34, Lakeville, MN 55044.

What is the taxonomy code for Dr. Petersen?

The primary taxonomy code is 111N00000X – Chiropractor.

Is this information correct?

All details come from the public NPPES registry. Providers can update their record at nppes.cms.hhs.gov; changes appear here after the next weekly update.

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