JORDAN MATTHEW PETERSON (NPI# 1003457466) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1003457466 |
| Entity Type | Individual |
| Full Name | JORDAN MATTHEW PETERSON |
| Credential | DC |
| Practice Address |
103 N 1st St Elma WA 98541-9854 |
| Mailing Address |
Po Box 656 Elma WA 98541-0656 |
| Practice Telephone | 3604825155 |
| Mailing Telephone | 3604825155 |
| Mailing Fax Number | 3604824155 |
| Enumeration Date | 2019-10-07 |
| Last Update Date | 2019-10-07 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 111N00000X | Chiropractor | CH60990272 | WA | Chiropractic Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1114538170 | Jordan B Peterson | Physical Therapist | 3835 Supreme Ct Nw Ste 2, Bemidji, MN 56601-4485 | 2020-08-13 |
| 1306454079 | Jordan Marie Peterson | Pharmacist | 737 W 12th St, Grafton, ND 58237-2117 | 2020-07-20 |
| 1124650171 | Jordan Peterson | Student in an Organized Health Care Education/Training Program | 509 University Dr, Eau Claire, WI 54701 | 2020-02-07 |
| 1588129423 | Jordan Peterson | Physician Assistant | 1010 4th St Sw Ste 105, Mason City, IA 50401-2856 | 2019-02-05 |
| 1407396476 | Jordan Peterson | Counselor | 22505 Woodroe Ave, Hayward, CA 94541-3410 | 2017-02-24 |
| 1609325828 | Jordan Peterson | Specialist | 13923 S Haystack Peak Cir, Riverton, UT 84096-6453 | 2016-09-28 |
| 1851847578 | Jordan Peterson | Psychologist | 500 South Navajo Drive, Page, AZ 86040 | 2016-09-01 |
| 1306228366 | Jordan Dane Peterson | Internal Medicine | 1415 Woodland Ave Ste 140, Des Moines, IA 50309-3203 | 2015-06-25 |
| 1861767469 | Jordan Anne Peterson | Nurse Anesthetist, Certified Registered | 12634 Olive Blvd, Saint Louis, MO 63141-6337 | 2012-03-14 |
| Street Address |
103 N 1ST ST |
| City | ELMA |
| State | WA |
| Zip Code | 98541-9854 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1962021444 | Rabab Cheema | Student in an Organized Health Care Education/Training Program | Summit Pacific Family Medicine, 600 E. Main Street, Elma, WA 98541 | 2020-04-14 |
| 1164087896 | Jamie Christina Talley | Massage Therapist | 201 S. 3rd Street, Elma, WA 98541 | 2019-05-08 |
| 1306359377 | Brandy L Hahn | Counselor | 308 E. Young St, Elma, WA 98541 | 2017-11-13 |
| 1205349412 | Charli Loretta Jankord | Massage Therapist | 201 South 3rd Street, Elma, WA 98541 | 2017-11-09 |
| 1588194013 | Janel Lynn Lewis | Counselor | 575 E. Main Suite C, Elma, WA 98541 | 2017-06-18 |
| 1962931139 | Cole Robert Johnson | Counselor | 575 E Main Street, Elma, WA 98541 | 2017-06-09 |
| 1922323880 | Kimberly Ann Peters | Counselor | 308 E. Young St., Elma, WA 98541 | 2010-04-05 |
| 1467776112 | Amy L Lystad | Counselor | 114 S. 5th St., Elma, WA 98541 | 2010-03-24 |
| 1649593336 | Maja C Ballew | Massage Therapist | 434 West Main Street, Elma, WA 98541 | 2010-03-09 |
| 1659603066 | Cristiana Maria Franklin | Counselor | 308 E. Young, Elma, WA 98541 | 2010-02-10 |
| Find all providers in zip 98541 | ||||
| Taxonomy Code | 111N00000X |
| Grouping | Chiropractic Providers |
| Classification | Chiropractor |
| 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. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1851941447 | Integrative Muscle & Joint Chiropractic, Pllc | Chiropractor | 2701 Transit Rd Ste 135, Elma, NY 14059-9032 | 2019-09-16 |
| 1972917623 | Mick Ellis | Chiropractor | 15 Sullivan Dr Apt B, Elma, NY 14059-9510 | 2014-06-19 |
| 1548671746 | Integrative Muscle & Joint Chiropractic, Pllc | Chiropractor | 2711 Transit Rd, Ste. 130, Elma, NY 14059-9041 | 2014-05-11 |
| 1780004606 | Sara Griffin | Chiropractor | 5761 Seneca St, Elma, NY 14059-9806 | 2014-04-17 |
| 1790104719 | Shaun Morgan | Chiropractor | 630 Knabb Rd, Elma, NY 14059-9434 | 2014-04-08 |
| 1790022267 | Timothy John Musial | Chiropractor | 2701 Transit Rd Ste 138, Elma, NY 14059-9036 | 2013-01-03 |
| 1063785731 | Ceier Chiropractic PC | Chiropractor | 2430 Bowen Road, Elma, NY 14059 | 2012-02-10 |
| 1578723359 | Adam Mccrea | Chiropractor | 2711 Transit Rd Ste 130, Elma, NY 14059-9041 | 2008-06-14 |
| 1508039777 | Matthew S. Peterson | Chiropractor | 103 N. 1st Street, Elma, WA 98541-0656 | 2008-04-09 |
| 1427220318 | Travis Micheal Vaughn | Chiropractor | 103 North 1st, Elma, WA 98541-0656 | 2008-03-31 |
| Find all providers in ELMA | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.