Provider Demographics
NPI:1629736418
Name:CALIBRATED CHIROPRACTIC PLLC
Entity Type:Organization
Organization Name:CALIBRATED CHIROPRACTIC PLLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CHIROPRACTOR
Authorized Official - Prefix:DR
Authorized Official - First Name:PETER
Authorized Official - Middle Name:J
Authorized Official - Last Name:MCGEE
Authorized Official - Suffix:IV
Authorized Official - Credentials:DC
Authorized Official - Phone:607-256-9355
Mailing Address - Street 1:821 CLIFF ST
Mailing Address - Street 2:
Mailing Address - City:ITHACA
Mailing Address - State:NY
Mailing Address - Zip Code:14850-2097
Mailing Address - Country:US
Mailing Address - Phone:607-256-9355
Mailing Address - Fax:607-275-9355
Practice Address - Street 1:821 CLIFF ST
Practice Address - Street 2:
Practice Address - City:ITHACA
Practice Address - State:NY
Practice Address - Zip Code:14850-2097
Practice Address - Country:US
Practice Address - Phone:607-256-9355
Practice Address - Fax:607-275-9355
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2021-11-30
Last Update Date:2021-11-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes111N00000XChiropractic ProvidersChiropractorGroup - Single Specialty