Petal Chiropractic Clinic, Inc. in Petal - Chiropractor
Petal Chiropractic Clinic, Inc. - NPI 1457484545
Petal Chiropractic Clinic, Inc. is a Chiropractor in Petal, Mississippi. Petal Chiropractic Clinic, Inc. practices all healthcare services and medical treatments related to Chiropractor. The NPI Number for Petal Chiropractic Clinic, Inc. is 1457484545. The last update date is 2020-08-22.
Petal Chiropractic Clinic, Inc.'s current location address is 130 N Main St, Petal, Mississippi. You can contact this provider via phone number 6015451481 and fax number 6015451449. The mailing address for Petal Chiropractic Clinic, Inc. is 130 N Main St, Petal, Mississippi. To know further, please read the information below!
Provider Profile Detail
| Provider Organization | Petal Chiropractic Clinic, Inc. |
|---|---|
| Address | 130 N Main St, Petal, Mississippi |
| Phone Number | 6015451481 |
| Fax Number | 6015451449 |
| Sole Proprietor | -- |
| Credentials | -- |
Authorized Official
| Title or Position | VICE PRESI |
|---|---|
| Authorized Official Name | Puckett A Kim |
| Credentials | D.C. |
| Telephone Number | 6015451481 |
NPI Number Detail
| NPI Number | 1457484545 |
|---|---|
| Provider Enumeration Date | 2007-03-14 |
| Last Updated Date | 2020-08-22 |
Provider Mailing Address Detail
| Address | 130 N Main St |
|---|---|
| City | Petal |
| State | Mississippi (MS) |
| Post Code | 394652345 |
| Phone Number | 6015451481 |
| Fax Number | 6015451449 |
Provider's Primary Taxonomy Detail
| Speciality | Chiropractor |
|---|---|
| Taxonomy | 111N00000X |
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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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Post Comment/ Review Below
What is the unique identifier code issued to Petal Chiropractic Clinic, Inc. by the Centers for Medicare & Medicaid Services (CMS)?
The Petal Chiropractic Clinic, Inc. has been assigned the NPI (National Provider Identifier) 1457484545. This 10-digit code serves as a unique identification number for healthcare providers, issued by the CMS.
Can you provide the Petal Chiropractic Clinic, Inc.'s physical address?
The Petal Chiropractic Clinic, Inc. is physically located at 130 N Main St, in the city of Petal, MS, with the postal code 394652345.
What is the area of specialization for Petal Chiropractic Clinic, Inc., and what is the corresponding taxonomy classification code for this field?
The specialized field of practice for Petal Chiropractic Clinic, Inc. is Chiropractor, and the corresponding taxonomy code that categorizes this area of expertise is 111N00000X.
On what date did the Petal Chiropractic Clinic, Inc. receive the assignment of its 1457484545 from the Centers for Medicare & Medicaid Services?
The Petal Chiropractic Clinic, Inc. was issued its 1457484545 by the Centers for Medicare & Medicaid Services on 2007-03-14.
When was the information regarding Petal Chiropractic Clinic, Inc., such as address, specialty, and other details, most recently verified or confirmed to be accurate?
The information pertaining to Petal Chiropractic Clinic, Inc., including its address, specialty, and other relevant details, was most recently verified or confirmed to be accurate on 2020-08-22.