Healthsource Chiropractic & Progressive Rehab

LBN: M Brandon Pettke Dc Pa
Healthsource Chiropractic & Progressive Rehab is an health care organization with primary practice located at 1320 Nw John Jones Dr , Burleson TX 76028-8040. The organization recently has only one registered license in Chiropractic Providers / Chiropractor, which is considered as the primary health care specialty. M Brandon Pettke Dc Pa can be contacted via phone (817) 297-7100, or through Pettke, Michael Brandon via phone (817) 297-7100.

Contact Information

Primary practice address
1320 Nw John Jones Dr Burleson TX 76028-8040
Phone: (817) 297-7100
Fax: (817) 297-7193
Website:
Map and Directions
Authorized official contact:
Name: Pettke, Michael Brandon Doctor of Chiropractic (DC)
Phone: (817) 297-7100

Health care specialties

SpecialtyCodeLicense #State
Chiropractic Providers / Chiropractor 111N00000X 9711 Texas

Profile Details

NPI number 1235319351
LBN Legal business name M Brandon Pettke Dc Pa
DBA Doing business as Healthsource Chiropractic & Progressive Rehab
Authorized official Pettke, Michael Brandon Doctor of Chiropractic (DC)
Entity Organization
Organization subpart 1 No
Enumeration date Nov 6th, 2007
Last updated Aug 24th, 2009 - about 16 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1235319351 NPPES
Texas Other 00037X MEDICARE GROUP

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