Fetta, Patrick
Fetta, Patrick is an sole proprietor health care provider with primary practice located at 10205 Staples Mill Rd , Glen Allen VA 23060-3065. He recently has only one registered license in Chiropractic Providers / Orthopedic, which is considered as his primary health care specialty. Fetta, Patrick can be contacted via phone (804) 672-7050.Contact Information
Primary practice address
10205 Staples Mill Rd
Glen Allen VA 23060-3065
Phone: (804) 672-7050
Fax: (804) 672-0661
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Chiropractic Providers / Orthopedic | 111NX0800X | 0104000431 | Virginia |
Profile Details
| NPI number | 1972758886 |
|---|---|
| LBN Legal business name | Fetta, Patrick |
| Credentials | Doctor of Chiropractic (DC) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Nov 19th, 2008 |
| Last updated | Nov 19th, 2008 - about 16 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1972758886 | NPPES |
| Virginia | Other | 083332 | ANTHEM BLUE CROSS BLUE SHIELD |
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