Provider Demographics
NPI:1245350271
Name:HAMALIAN, PETER B, (DC)
Entity type:Individual
Prefix:DR
First Name:PETER
Middle Name:B,
Last Name:HAMALIAN
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 1:6872 NW 169TH ST
Mailing Address - Street 2:
Mailing Address - City:HIALEAH
Mailing Address - State:FL
Mailing Address - Zip Code:33015-4210
Mailing Address - Country:US
Mailing Address - Phone:305-828-6767
Mailing Address - Fax:305-828-1912
Practice Address - Street 1:6872 NW 169TH ST
Practice Address - Street 2:
Practice Address - City:HIALEAH
Practice Address - State:FL
Practice Address - Zip Code:33015-4210
Practice Address - Country:US
Practice Address - Phone:305-828-6767
Practice Address - Fax:305-828-1912
Is Sole Proprietor?:No
Enumeration Date:2007-03-31
Last Update Date:2007-07-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLCH0006107111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor
Provider Identifiers
StateIdentifier IDID TypeIssuer
FL22503OtherCHIROPRACTOR
FLU26239Medicare UPIN