Jennifer L Pettibone in Dallas - Chiropractor

Jennifer L Pettibone - NPI 1952332868

Jennifer L Pettibone is a Chiropractor in Dallas, Texas. Jennifer L Pettibone practices all healthcare services and medical treatments related to Chiropractor. The NPI Number for Jennifer L Pettibone is 1952332868. The last update date is 2007-07-08.

Jennifer L Pettibone's current location address is 5720 Lyndon B Johnson Fwy, Dallas, Texas. You can contact this provider via phone number 9726612378 and fax number 9722337030. The mailing address for Jennifer L Pettibone is 5720 Lyndon B Johnson Fwy, Dallas, Texas. To know further, please read the information below!

Provider Profile Detail

Provider Name Jennifer L Pettibone
Address 5720 Lyndon B Johnson Fwy, Dallas, Texas
Phone Number 9726612378
Fax Number 9722337030
Sole Proprietor Y
Credentials D.C.

NPI Number Detail

NPI Number 1952332868
Provider Enumeration Date 2006-07-06
Last Updated Date 2007-07-08

Provider Mailing Address Detail

Address 5720 Lyndon B Johnson Fwy
City Dallas
State Texas (TX)
Post Code 752406328
Phone Number 9726612378
Fax Number 9722337030

Provider's Primary Taxonomy Detail

Speciality Chiropractor
Taxonomy 111N00000X
Licence No 5935
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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FAQs about Jennifer L Pettibone

What is the unique identifier code issued to Jennifer L Pettibone by the Centers for Medicare & Medicaid Services?

The Jennifer L Pettibone has been assigned the NPI (National Provider Identifier) 1952332868. This 10-digit code serves as a unique identification number for healthcare providers issued by the Centers for Medicare & Medicaid Services (CMS).

Could you please share the complete physical location address where Jennifer L Pettibone's facilities are situated?

The facilities of Jennifer L Pettibone are physically located at the following address: 5720 Lyndon B Johnson Fwy, Dallas, TX, 752406328.

What is Jennifer L Pettibone's specialized field of practice, and what is the corresponding taxonomy classification code?

The Jennifer L Pettibone's area of specialization is Chiropractor, and the corresponding taxonomy code that categorizes this field of practice is 111N00000X.

On what date was the 1952332868 assigned to Jennifer L Pettibone?

The Jennifer L Pettibone was issued its 1952332868 on 2006-07-06, which is the date when this unique identifier was assigned to the organization by the Centers for Medicare & Medicaid Services.

As of what date was the information pertaining to Jennifer L Pettibone, such as address, specialty, and other details, last reviewed and confirmed to be accurate?

The information related to Jennifer L Pettibone, including its address, specialty, and other relevant details, was last reviewed and confirmed to be accurate on 2007-07-08.

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