Provider Demographics
NPI:1649209255
Name:ROHRS, PETER DAVIS (DC)
Entity type:Individual
Prefix:DR
First Name:PETER
Middle Name:DAVIS
Last Name:ROHRS
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 1:8266 LAUREL LAKES WAY
Mailing Address - Street 2:
Mailing Address - City:NAPLES
Mailing Address - State:FL
Mailing Address - Zip Code:34119-6792
Mailing Address - Country:US
Mailing Address - Phone:630-404-5996
Mailing Address - Fax:
Practice Address - Street 1:8266 LAUREL LAKES WAY
Practice Address - Street 2:
Practice Address - City:NAPLES
Practice Address - State:FL
Practice Address - Zip Code:34119-6792
Practice Address - Country:US
Practice Address - Phone:630-404-5996
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2006-07-03
Last Update Date:2008-02-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IL111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor
Provider Identifiers
StateIdentifier IDID TypeIssuer
IL4515230OtherBLUE CROSS BLUE SHIELD
IL714100Medicare ID - Type Unspecified
ILT38038Medicare UPIN