Provider Demographics
NPI:1619792363
Name:PEERS, SILAS BENJAMIN (DC)
Entity type:Individual
Prefix:
First Name:SILAS
Middle Name:BENJAMIN
Last Name:PEERS
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 1:243 S UNION ST
Mailing Address - Street 2:
Mailing Address - City:SPENCERPORT
Mailing Address - State:NY
Mailing Address - Zip Code:14559-1403
Mailing Address - Country:US
Mailing Address - Phone:585-352-0285
Mailing Address - Fax:
Practice Address - Street 1:160 PACKETTS LNDG
Practice Address - Street 2:
Practice Address - City:FAIRPORT
Practice Address - State:NY
Practice Address - Zip Code:14450-1570
Practice Address - Country:US
Practice Address - Phone:585-598-3031
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2024-11-18
Last Update Date:2024-12-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NYX013901111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor