Petty, Michael Travis
Petty, Michael Travis is an sole proprietor health care provider with primary practice located at 10826 Kingston Pike , Knoxville TN 37934-3059. He recently has only one registered license in Chiropractic Providers / Chiropractor, which is considered as his primary health care specialty. Petty, Michael Travis can be contacted via phone (865) 675-5050.Contact Information
Primary practice address
10826 Kingston Pike
Knoxville TN 37934-3059
Phone: (865) 675-5050
Fax: (865) 671-1321
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Chiropractic Providers / Chiropractor | 111N00000X | DC511 | Tennessee |
Profile Details
| NPI number | 1679578132 |
|---|---|
| LBN Legal business name | Petty, Michael Travis |
| Credentials | Doctor of Chiropractic (DC) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Jun 20th, 2005 |
| Last updated | Jan 13th, 2013 - about 13 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 | 1679578132 | NPPES |
| Tennessee | MEDICAID | 1811205 |
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