JACOB AARON PETERSON DC
NPI 1871515593
Chiropractor in Holmen, WI

Active since July 24, 2006
434 N STAR RD, HOLMEN, WI 54636(608) 526-3343(608) 526-9366 Get Directions Write a Review

NPPES record last updated: July 11, 2016. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Jacob Aaron Peterson Dc NPPES

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

JACOB AARON PETERSON DC (NPI 1871515593) is an individual chiropractor in Holmen, Wisconsin, licensed in Wisconsin (4137-012) and active in the NPI registry since July 2006.

NPPES Registry Identity

NPI1871515593
Entity TypeIndividualMale
Primary Taxonomy111N00000X
Provider Legal NameJACOB AARON PETERSONCredential: DC
Location Address434 N STAR RDHolmen, WI 54636-4402
Mailing AddressPo Box 274Pittsville, WI 54466-0274 · (715) 884-2379 · Fax (715) 884-2411
Fax(608) 526-9366
Sole ProprietorNo
Enumeration DateJuly 24, 2006
Last NPPES UpdateJuly 11, 2016
NPI 1871515593 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyChiropractorChiropractic Providers
Taxonomy Code111N00000X
License Licensed in WI · 4137-012
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.
434 N STAR RD, Holmen, WI 54636

Other Identifiers 6

Medicare UPINV05595WI
Medicare PIN000570465WI
Medicaid38961300WI
Other$$$$$$$$$009WI · Blue Cross Of Wi
Medicare PIN000570470WI
OtherP00600196WI · Medicare Railroad

Other Providers at the Same Location NPPES

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Chiropractor (Neurology)
434 N STAR RD
HOLMEN, WI 54636

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 Jacob Peterson's NPI number?

The NPI number for Jacob Peterson is 1871515593. It was assigned to this individual provider in the NPPES registry on July 24, 2006.

Where is Jacob Peterson located?

Jacob Peterson practices at 434 N Star Rd, Holmen, WI 54636. The listed phone number is (608) 526-3343.

What is Jacob 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 Jacob Peterson was last updated on July 11, 2016. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 10 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.