Provider Demographics
NPI:1326415506
Name:PEAK PERFOMANCE CHIROPRACTIC
Entity Type:Organization
Organization Name:PEAK PERFOMANCE CHIROPRACTIC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CHIROPRACTOR
Authorized Official - Prefix:DR
Authorized Official - First Name:LINDSAY
Authorized Official - Middle Name:MARIE
Authorized Official - Last Name:ENGL
Authorized Official - Suffix:
Authorized Official - Credentials:DC
Authorized Official - Phone:716-430-6473
Mailing Address - Street 1:572 POTOMAC AVE APT 3
Mailing Address - Street 2:
Mailing Address - City:BUFFALO
Mailing Address - State:NY
Mailing Address - Zip Code:14222-1153
Mailing Address - Country:US
Mailing Address - Phone:716-430-6473
Mailing Address - Fax:
Practice Address - Street 1:2625 DELAWARE AVE
Practice Address - Street 2:SUITE 102
Practice Address - City:BUFFALO
Practice Address - State:NY
Practice Address - Zip Code:14216
Practice Address - Country:US
Practice Address - Phone:716-335-9711
Practice Address - Fax:716-335-9696
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2015-08-24
Last Update Date:2015-08-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY70012710111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes111N00000XChiropractic ProvidersChiropractorGroup - Single Specialty