Jon M Pettibon is a Chiropractor in Tacoma, Washington. Jon M Pettibon practices all healthcare services and medical treatments related to Chiropractor. The NPI Number for Jon M Pettibon is 1639227366. The last update date is 2007-07-08.
Jon M Pettibon's current location address is 3837 S 12th St, Tacoma, Washington. You can contact this provider via phone number 2537523501 and fax number 2537523504. The mailing address for Jon M Pettibon is 3837 S 12th St, Tacoma, Washington. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Jon M Pettibon |
|---|---|
| Address | 3837 S 12th St, Tacoma, Washington |
| Phone Number | 2537523501 |
| Fax Number | 2537523504 |
| Sole Proprietor | N |
| Credentials | D.C. |
NPI Number Detail
| NPI Number | 1639227366 |
|---|---|
| Provider Enumeration Date | 2007-01-08 |
| Last Updated Date | 2007-07-08 |
Provider Mailing Address Detail
| Address | 3837 S 12th St |
|---|---|
| City | Tacoma |
| State | Washington (WA) |
| Post Code | 984052138 |
| Phone Number | 2537523501 |
| Fax Number | 2537523504 |
Provider's Primary Taxonomy Detail
| Speciality | Chiropractor |
|---|---|
| Taxonomy | 111N00000X |
| Licence No | CH00001455 |
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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 assigned to Jon M Pettibon by the Centers for Medicare & Medicaid Services?
The Jon M Pettibon has been issued the NPI (National Provider Identifier) 1639227366, which serves as a unique identifier for healthcare providers, assigned by the Centers for Medicare & Medicaid Services (CMS).
Could you please provide the complete physical location address of Jon M Pettibon?
The Jon M Pettibon is physically situated at 3837 S 12Th St, in the city of Tacoma, state of WA, with the postal code 984052138.
What is Jon M Pettibon's specialized area of practice, and what is the corresponding taxonomy classification code for this field?
The Jon M Pettibon's specialized field of practice is Chiropractor, and the corresponding taxonomy code that categorizes this area of specialization is 111N00000X.
On what date did the Centers for Medicare & Medicaid Services assign the 1639227366 to Jon M Pettibon?
The Centers for Medicare & Medicaid Services assigned the 1639227366 to Jon M Pettibon on 2007-01-08.
When was the information regarding Jon M Pettibon, such as address, specialty, and other details, most recently verified or confirmed to be accurate?
The information pertaining to Jon M Pettibon, including its address, specialty, and other relevant details, was most recently verified or confirmed to be accurate on 2007-07-08.
NPI Number: 1639173222
Address: Po Box 40908, Fayetteville, NC