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DR. JON B PETERSON D.C.
NPI 1265593560
Chiropractor in Saint Cloud, MN

Active since December 12, 2006
2611 CLEARWATER RD, SAINT CLOUD, MN 56301(320) 656-0200(320) 656-0204 Get Directions Write a Review

NPPES record last updated: July 8, 2007. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Dr. Jon B Peterson D.c. NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

DR. JON B PETERSON D.C. (NPI 1265593560) is an individual chiropractor in Saint Cloud, Minnesota, licensed in Minnesota (4221) and active in the NPI registry since December 2006.

NPPES Registry Identity

NPI1265593560
Entity TypeIndividualMale
Primary Taxonomy111N00000X
Provider Legal NameDR. JON B PETERSONCredential: D.C.
Location Address2611 CLEARWATER RDSaint Cloud, MN 56301-5953
Mailing Address2611 Clearwater RdSaint Cloud, MN 56301-5953 · (320) 656-0200 · Fax (320) 656-0204
Phone(320) 656-0200
Fax(320) 656-0204
Sole ProprietorYes
Enumeration DateDecember 12, 2006
Last NPPES UpdateJuly 8, 2007
✔ NPI 1265593560 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyChiropractorChiropractic Providers
Taxonomy Code111N00000X
License✔ Licensed in MN · 4221
Definition

A provider qualified by a Doctor of Chiropractic (D.C.), licensed by the State and who practices chiropractic medicine -that discipline within the healing arts which deals with the nervous system and its relationship to the spinal column and its interrelationship with other body systems.

2611 CLEARWATER RD, Saint Cloud, MN 56301
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Other Identifiers 2

OtherP00039673MN · Railroad Medicare
Other406S4MIMN · Bcbs

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Jon Peterson's NPI number?

The NPI number for Jon Peterson is 1265593560. It was assigned to this individual provider in the NPPES registry on December 12, 2006.

Where is Jon Peterson located?

Jon Peterson practices at 2611 Clearwater Rd, Saint Cloud, MN 56301. The listed phone number is (320) 656-0200.

What is Jon Peterson's specialty?

The primary specialty registered for this NPI is Chiropractor with taxonomy code 111N00000X.

When was this NPI record last updated?

The NPPES record for Jon Peterson was last updated on July 8, 2007. NPI Profile syncs with the weekly NPPES data releases published by CMS.