Provider Demographics
NPI:1194813394
Name:ZEIGER, PETER JAMES (DC)
Entity type:Individual
Prefix:DR
First Name:PETER
Middle Name:JAMES
Last Name:ZEIGER
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 1:313 E LINCOLN HWY
Mailing Address - Street 2:
Mailing Address - City:EXTON
Mailing Address - State:PA
Mailing Address - Zip Code:19341-2735
Mailing Address - Country:US
Mailing Address - Phone:610-524-7417
Mailing Address - Fax:610-524-7418
Practice Address - Street 1:313 E LINCOLN HWY
Practice Address - Street 2:
Practice Address - City:EXTON
Practice Address - State:PA
Practice Address - Zip Code:19341-2735
Practice Address - Country:US
Practice Address - Phone:610-524-7417
Practice Address - Fax:610-524-7418
Is Sole Proprietor?:No
Enumeration Date:2006-10-11
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PADC007092L111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor
Provider Identifiers
StateIdentifier IDID TypeIssuer
PAM01798985Medicaid
PA026695QSRMedicare ID - Type Unspecified