Michael J Pettella in Belleview - Chiropractor
Michael J Pettella - NPI 1043200140
Michael J Pettella is a Chiropractor in Belleview, Florida. Michael J Pettella practices all healthcare services and medical treatments related to Chiropractor. The NPI Number for Michael J Pettella is 1043200140. The last update date is 2012-10-04.
Michael J Pettella's current location address is 6175 Se 126th Ln, Belleview, Florida. You can contact this provider via phone number 3522458300. The mailing address for Michael J Pettella is 6175 Se 126th Ln, Belleview, Florida. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Michael J Pettella |
|---|---|
| Address | 6175 Se 126th Ln, Belleview, Florida |
| Phone Number | 3522458300 |
| Fax Number | |
| Sole Proprietor | Y |
| Credentials | DC |
NPI Number Detail
| NPI Number | 1043200140 |
|---|---|
| Provider Enumeration Date | 2005-10-28 |
| Last Updated Date | 2012-10-04 |
Provider Mailing Address Detail
| Address | 6175 Se 126th Ln |
|---|---|
| City | Belleview |
| State | Florida (FL) |
| Post Code | 344205208 |
| Phone Number | 3522458300 |
| Fax Number |
Provider's Primary Taxonomy Detail
| Speciality | Chiropractor |
|---|---|
| Taxonomy | 111N00000X |
| Licence No | CH0006496 |
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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 |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 350052194 | FL | RAILROAD MEDICARE |
Post Comment/ Review Below
What is the unique identification code assigned to Michael J Pettella by the Centers for Medicare & Medicaid Services?
The Michael J Pettella has been issued the NPI (National Provider Identifier) 1043200140. This 10-digit code serves as a unique identifier for healthcare providers, assigned by the Centers for Medicare & Medicaid Services (CMS).
Could you share the physical location details of Michael J Pettella?
The Michael J Pettella is situated at 6175 Se 126Th Ln, in the city of Belleview, state of FL, with the zip code 344205208.
What is Michael J Pettella's area of expertise and its corresponding taxonomy classification?
The Michael J Pettella's field of specialization is Chiropractor, and it falls under the taxonomy code 111N00000X, which categorizes healthcare providers based on their areas of practice.
On what date did Michael J Pettella receive its 1043200140 assignment from the Centers for Medicare & Medicaid Services?
The Michael J Pettella was assigned its 1043200140 on 2005-10-28, which is the date when this unique identifier was issued to the organization by the Centers for Medicare & Medicaid Services.
When was the information regarding Michael J Pettella, such as address, specialty, and other details, most recently verified or confirmed to be accurate?
The information pertaining to Michael J Pettella, including its address, specialty, and other relevant details, was most recently verified or confirmed to be accurate on 2012-10-04.