Provider Demographics
NPI:1588353981
Name:QUIGLEY, PETER JOSEPH (DC)
Entity type:Individual
Prefix:
First Name:PETER
Middle Name:JOSEPH
Last Name:QUIGLEY
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 1:180 HOWARD ST STE G4
Mailing Address - Street 2:
Mailing Address - City:SAN FRANCISCO
Mailing Address - State:CA
Mailing Address - Zip Code:94105-1696
Mailing Address - Country:US
Mailing Address - Phone:415-896-2225
Mailing Address - Fax:
Practice Address - Street 1:180 HOWARD ST STE G4
Practice Address - Street 2:
Practice Address - City:SAN FRANCISCO
Practice Address - State:CA
Practice Address - Zip Code:94105-1696
Practice Address - Country:US
Practice Address - Phone:415-896-2225
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2023-05-02
Last Update Date:2023-05-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA34547111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor