Chad Jeremy Petterson in Hastings - Chiropractor
Chad Jeremy Petterson - NPI 1003986886
Chad Jeremy Petterson is a Chiropractor in Hastings, Minnesota. Chad Jeremy Petterson practices all healthcare services and medical treatments related to Chiropractor. The NPI Number for Chad Jeremy Petterson is 1003986886. The last update date is 2007-07-08.
Chad Jeremy Petterson's current location address is 825 Bahls Drive, Hastings, Minnesota. You can contact this provider via phone number 6514801128 and fax number 6514383929. The mailing address for Chad Jeremy Petterson is 825 Bahls Drive, Hastings, Minnesota. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Chad Jeremy Petterson |
|---|---|
| Address | 825 Bahls Drive, Hastings, Minnesota |
| Phone Number | 6514801128 |
| Fax Number | 6514383929 |
| Sole Proprietor | N |
| Credentials | DC |
NPI Number Detail
| NPI Number | 1003986886 |
|---|---|
| Provider Enumeration Date | 2006-11-08 |
| Last Updated Date | 2007-07-08 |
Provider Mailing Address Detail
| Address | 825 Bahls Drive |
|---|---|
| City | Hastings |
| State | Minnesota (MN) |
| Post Code | 55033 |
| Phone Number | 6514801128 |
| Fax Number | 6514383929 |
Provider's Primary Taxonomy Detail
| Speciality | Chiropractor |
|---|---|
| Taxonomy | 111N00000X |
| Licence No | 3748 |
|
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 |
|---|---|---|---|
| 198G8PE | MN | BLUE CROSS BLUE SHIELD # | |
| CO3874 | MN | MEDICARE GROUP # | |
| 106179 | MN | HEALTH PARTNERS # |
Post Comment/ Review Below
What is the unique 10-digit identification code assigned to Chad Jeremy Petterson by the Centers for Medicare & Medicaid Services?
The Chad Jeremy Petterson has been issued the NPI (National Provider Identifier) 1003986886, which serves as a unique identifier for healthcare providers, assigned by the Centers for Medicare & Medicaid Services (CMS).
Can you provide the Chad Jeremy Petterson's physical address?
The Chad Jeremy Petterson is physically located at 825 Bahls Drive, in the city of Hastings, MN, with the postal code 55033.
What is Chad Jeremy Petterson's primary field of medical specialization, and what is the corresponding taxonomy classification code for this area of expertise?
The primary field of medical specialization for Chad Jeremy Petterson is Chiropractor, and the taxonomy classification code that categorizes this area of expertise is 111N00000X.
On what date did the Chad Jeremy Petterson receive its 1003986886 assignment from the Centers for Medicare & Medicaid Services?
The Chad Jeremy Petterson was assigned its 1003986886 by the Centers for Medicare & Medicaid Services on 2006-11-08.
When was the information pertaining to Chad Jeremy Petterson most recently updated or revised?
The details related to Chad Jeremy Petterson, including its address, specialty, and other relevant information, were last updated or revised on 2007-07-08.
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