Petway, Jacob Richard

Petway, Jacob Richard is an individual health care provider with primary practice located at 929 Azusa St , Sacramento CA 95833-2328. He recently has 2 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Behavior Technician, Chiropractic Providers / Chiropractor. Chiropractic Providers / Chiropractor is his primary health care specialty. Petway, Jacob Richard can be contacted via phone (530) 315-5594.

Contact Information

Primary practice address
929 Azusa St Sacramento CA 95833-2328
Phone: (530) 315-5594
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Behavior Technician 106S00000X
Chiropractic Providers / Chiropractor 111N00000X 32615 California

Profile Details

NPI number 1871938217
LBN Legal business name Petway, Jacob Richard
Credentials DC, QME, IIE, BS
Entity Individual
Sole proprietor 1 No
Enumeration date Apr 29th, 2013
Last updated Apr 27th, 2023 - about 2 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.

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