Jon S Petrick is a Chiropractor in Henderson, Nevada. Jon S Petrick practices all healthcare services and medical treatments related to Chiropractor. The NPI Number for Jon S Petrick is 1083763502. The last update date is 2014-02-21.
Jon S Petrick's current location address is 58 N Pecos Rd, Henderson, Nevada. You can contact this provider via phone number 7029482520 and fax number 7029482523. The mailing address for Jon S Petrick is 58 N Pecos Rd, Henderson, Nevada. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Jon S Petrick |
|---|---|
| Address | 58 N Pecos Rd, Henderson, Nevada |
| Phone Number | 7029482520 |
| Fax Number | 7029482523 |
| Sole Proprietor | N |
| Credentials | DC |
NPI Number Detail
| NPI Number | 1083763502 |
|---|---|
| Provider Enumeration Date | 2007-01-10 |
| Last Updated Date | 2014-02-21 |
Provider Mailing Address Detail
| Address | 58 N Pecos Rd |
|---|---|
| City | Henderson |
| State | Nevada (NV) |
| Post Code | 890747319 |
| Phone Number | 7029482520 |
| Fax Number | 7029482523 |
Provider's Primary Taxonomy Detail
| Speciality | Chiropractor |
|---|---|
| Taxonomy | 111N00000X |
| Licence No | B00848 |
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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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What is the unique identifier code issued to Jon S Petrick by the Centers for Medicare & Medicaid Services (CMS)?
The Jon S Petrick has been assigned the NPI (National Provider Identifier) 1083763502. This 10-digit code serves as a unique identification number for healthcare providers, issued by the CMS.
Could you share the physical location details of Jon S Petrick?
The Jon S Petrick is situated at 58 N Pecos Rd, in the city of Henderson, state of NV, with the zip code 890747319.
What is the area of specialization for Jon S Petrick, and what is the corresponding taxonomy classification code for this field?
The specialized field of practice for Jon S Petrick is Chiropractor, and the corresponding taxonomy code that categorizes this area of expertise is 111N00000X.
On what date did the Centers for Medicare & Medicaid Services issue the 1083763502 to Jon S Petrick?
The Jon S Petrick received its 1083763502 assignment from the Centers for Medicare & Medicaid Services on 2007-01-10.
When was the information related to Jon S Petrick most recently updated or refreshed?
The details pertaining to the Jon S Petrick, including its address, specialty, and other relevant information, were last updated or refreshed on 2014-02-21.
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