Eddie P Petry in Albertville - Chiropractor

Eddie P Petry - NPI 1093801912

Eddie P Petry is a Chiropractor in Albertville, Alabama. Eddie P Petry practices all healthcare services and medical treatments related to Chiropractor. The NPI Number for Eddie P Petry is 1093801912. The last update date is 2012-03-21.

Eddie P Petry's current location address is 700 Al Highway 75 N, Albertville, Alabama. You can contact this provider via phone number 2568913733 and fax number 2568910602. The mailing address for Eddie P Petry is 700 Al Highway 75 N, Albertville, Alabama. To know further, please read the information below!

Provider Profile Detail

Provider Name Eddie P Petry
Address 700 Al Highway 75 N, Albertville, Alabama
Phone Number 2568913733
Fax Number 2568910602
Sole Proprietor N
Credentials D.C.

NPI Number Detail

NPI Number 1093801912
Provider Enumeration Date 2006-10-05
Last Updated Date 2012-03-21

Provider Mailing Address Detail

Address 700 Al Highway 75 N
City Albertville
State Alabama (AL)
Post Code 359514014
Phone Number 2568913733
Fax Number 2568910602

Provider's Primary Taxonomy Detail

Speciality Chiropractor
Taxonomy 111N00000X
Licence No 1566
Definition:
A provider qualified by a Doctor of Chiropractic (D.C.), licensed by the State and who practices chiropractic medicine -that discipline within the healing arts which deals with the nervous system and its relationship to the spinal column and its inte

Provider's Other Legacy Identifiers

Identifier Identifier Type Identifier State Identifier Issuer
51518312 AL BLUE CROSS BLUE SHIELD

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FAQs about Eddie P Petry

What is the unique 10-digit identifier code issued to Eddie P Petry by the Centers for Medicare & Medicaid Services?

The Eddie P Petry has been assigned the NPI (National Provider Identifier) 1093801912 by the CMS (Centers for Medicare & Medicaid Services). This 10-digit code serves as a unique identification number for healthcare providers.

Could you please provide the complete street address where Eddie P Petry is physically located?

The Eddie P Petry is physically situated at the following address: 700 Al Highway 75 N, Albertville, AL, 359514014.

What is Eddie P Petry's specialized field of practice, and what is the corresponding taxonomy code that categorizes this area of expertise?

The area of specialization for Eddie P Petry is Chiropractor, and the taxonomy code that classifies this field of practice is 111N00000X.

On what date did the Eddie P Petry receive the assignment of its 1093801912 from the Centers for Medicare & Medicaid Services?

The Eddie P Petry was issued its 1093801912 by the Centers for Medicare & Medicaid Services on 2006-10-05.

As of what date was the information regarding Eddie P Petry, such as address, specialty, and other details, last verified and confirmed to be up-to-date?

The information related to Eddie P Petry, including its address, specialty, and other relevant details, was last verified and confirmed to be up-to-date on 2012-03-21.

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