Pettis Chiropractic

LBN: Pettis Chiropractic
Pettis Chiropractic is an health care organization with primary practice located at 1570 Century Pt , Eagan MN 55121-1926. The organization recently has only one registered license in Chiropractic Providers / Chiropractor, which is considered as the primary health care specialty. Pettis Chiropractic can be contacted via phone (651) 261-1923, or through Pettis, Jay via phone (651) 261-1923.

Contact Information

Primary practice address
1570 Century Pt Eagan MN 55121-1926
Phone: (651) 261-1923
Fax: (651) 405-6627
Website:
Map and Directions
Authorized official contact:
Name: Pettis, Jay Doctor of Chiropractic (DC)
Phone: (651) 261-1923

Health care specialties

SpecialtyCodeLicense #State
Chiropractic Providers / Chiropractor 111N00000X 4807 Minnesota

Profile Details

NPI number 1316115934
LBN Legal business name Pettis Chiropractic
DBA Doing business as
Authorized official Pettis, Jay Doctor of Chiropractic (DC)
Entity Organization
Organization subpart 1 No
Enumeration date Feb 16th, 2008
Last updated Jun 19th, 2008 - about 17 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 1316115934 NPPES
Minnesota MEDICAID 996698000
Minnesota Other 274N4PE

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