Provider Demographics
NPI:1356525869
Name:WELTER, PETER (DC)
Entity type:Individual
Prefix:DR
First Name:PETER
Middle Name:
Last Name:WELTER
Suffix:
Gender:M
Credentials:DC
Other - Prefix:DR
Other - First Name:PETER
Other - Middle Name:
Other - Last Name:WELTER
Other - Suffix:
Other - Last Name Type:Professional Name
Other - Credentials:
Mailing Address - Street 1:1950 COMPASS COVE DR
Mailing Address - Street 2:
Mailing Address - City:VERO BEACH
Mailing Address - State:FL
Mailing Address - Zip Code:32963-2820
Mailing Address - Country:US
Mailing Address - Phone:772-559-8810
Mailing Address - Fax:772-564-0830
Practice Address - Street 1:1950 COMPASS COVE DR
Practice Address - Street 2:
Practice Address - City:VERO BEACH
Practice Address - State:FL
Practice Address - Zip Code:32963-2820
Practice Address - Country:US
Practice Address - Phone:772-559-8810
Practice Address - Fax:772-564-0830
Is Sole Proprietor?:Yes
Enumeration Date:2007-12-19
Last Update Date:2007-12-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLCH2341111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor