John E Petty Dc Pc

LBN: John E Petty Dc Pc
John E Petty Dc Pc is an health care organization with primary practice located at 452 Forest Sq , Longview TX 75605-4401. The organization recently has only one registered license in Chiropractic Providers / Chiropractor, which is considered as the primary health care specialty. John E Petty Dc Pc can be contacted via phone (903) 757-3400, or through Petty, John E via phone (903) 757-3400.

Contact Information

Primary practice address
452 Forest Sq Longview TX 75605-4401
Phone: (903) 757-3400
Fax: (903) 753-9663
Website:
Map and Directions
Authorized official contact:
Name: Petty, John E Doctor of Chiropractic (DC)
Phone: (903) 757-3400

Health care specialties

SpecialtyCodeLicense #State
Chiropractic Providers / Chiropractor 111N00000X 2365 Texas

Profile Details

NPI number 1821121872
LBN Legal business name John E Petty Dc Pc
DBA Doing business as
Authorized official Petty, John E Doctor of Chiropractic (DC)
Entity Organization
Organization subpart 1 No
Enumeration date Mar 13th, 2007
Last updated Sep 21st, 2011 - about 15 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 1821121872 NPPES
Texas MEDICAID 0009342-01

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