Provider Demographics
NPI:1205015260
Name:PETERS, ERIK (DC)
Entity Type:Individual
Prefix:DR
First Name:ERIK
Middle Name:
Last Name:PETERS
Suffix:
Gender:M
Credentials:DC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:27600 CHAGRIN BLVD STE 160
Mailing Address - Street 2:
Mailing Address - City:WOODMERE
Mailing Address - State:OH
Mailing Address - Zip Code:44122-4421
Mailing Address - Country:US
Mailing Address - Phone:216-593-0150
Mailing Address - Fax:
Practice Address - Street 1:8500 NORTH BEDFORD ROAD
Practice Address - Street 2:
Practice Address - City:MACEDONIA
Practice Address - State:OH
Practice Address - Zip Code:44056-1941
Practice Address - Country:US
Practice Address - Phone:330-468-1199
Practice Address - Fax:330-468-3785
Is Sole Proprietor?:No
Enumeration Date:2007-10-26
Last Update Date:2020-07-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OH3928111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor