Provider Demographics
NPI:1386692010
Name:PLINKE, PETER M (DC)
Entity type:Individual
Prefix:
First Name:PETER
Middle Name:M
Last Name:PLINKE
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 1:636 N FRENCH RD
Mailing Address - Street 2:SUITES 9-10
Mailing Address - City:AMHERST
Mailing Address - State:NY
Mailing Address - Zip Code:14228-1900
Mailing Address - Country:US
Mailing Address - Phone:716-694-7790
Mailing Address - Fax:716-688-2200
Practice Address - Street 1:636 N FRENCH RD
Practice Address - Street 2:SUITES 9-10
Practice Address - City:AMHERST
Practice Address - State:NY
Practice Address - Zip Code:14228-1900
Practice Address - Country:US
Practice Address - Phone:716-694-7790
Practice Address - Fax:716-688-2200
Is Sole Proprietor?:Not Answered
Enumeration Date:2006-05-05
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NYX0073431111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor
Provider Identifiers
StateIdentifier IDID TypeIssuer
NY14325CMedicare ID - Type Unspecified