Burl Pettibon is a Chiropractor in Gig Harbor, Washington. Burl Pettibon practices all healthcare services and medical treatments related to Chiropractor. The NPI Number for Burl Pettibon is 1871766154. The last update date is 2008-04-08.
Burl Pettibon's current location address is 7108 Pioneer Way, Gig Harbor, Washington. You can contact this provider via phone number 2538582474 and fax number 2538586511. The mailing address for Burl Pettibon is 7108 Pioneer Way, Gig Harbor, Washington. To know further, please read the information below!
Provider Profile Detail
| Provider Organization | Burl Pettibon |
|---|---|
| Address | 7108 Pioneer Way, Gig Harbor, Washington |
| Phone Number | 2538582474 |
| Fax Number | 2538586511 |
| Sole Proprietor | -- |
| Credentials | -- |
Authorized Official
| Title or Position | CHIROPRACT |
|---|---|
| Authorized Official Name | Cohen Christian |
| Credentials | D.C. |
| Telephone Number | 2538582474 |
NPI Number Detail
| NPI Number | 1871766154 |
|---|---|
| Provider Enumeration Date | 2008-04-08 |
| Last Updated Date | 2008-04-08 |
Provider Mailing Address Detail
| Address | 7108 Pioneer Way |
|---|---|
| City | Gig Harbor |
| State | Washington (WA) |
| Post Code | 983351178 |
| Phone Number | 2538582474 |
| Fax Number | 2538586511 |
Provider's Primary Taxonomy Detail
| Speciality | Chiropractor |
|---|---|
| Taxonomy | 111N00000X |
| Licence No | CH00000551 |
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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 10-digit identification code issued to Burl Pettibon by the Centers for Medicare & Medicaid Services?
The Burl Pettibon has been assigned the NPI (National Provider Identifier) 1871766154 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code serves as a unique identifier for healthcare providers.
Could you please provide the complete physical location address of Burl Pettibon?
The Burl Pettibon is physically situated at 7108 Pioneer Way, in the city of Gig Harbor, state of WA, with the postal code 983351178.
What is Burl Pettibon's specialized field of practice, and what is the corresponding taxonomy classification code?
The Burl Pettibon's area of specialization is Chiropractor, and the corresponding taxonomy code that categorizes this field of practice is 111N00000X.
On what date did the Centers for Medicare & Medicaid Services originally issue the 1871766154 to Burl Pettibon?
The Centers for Medicare & Medicaid Services originally issued the 1871766154 to Burl Pettibon on 2008-04-08.
As of what date were the details related to Burl Pettibon most recently updated or revised?
The information pertaining to Burl Pettibon, including its address, specialty, and other relevant details, was last updated or revised on 2008-04-08.