Michael B. Pettet, Dc, Ps in Vancouver - Chiropractor
Michael B. Pettet, Dc, Ps - NPI 1609086784
Michael B. Pettet, Dc, Ps is a Chiropractor in Vancouver, Washington. Michael B. Pettet, Dc, Ps practices all healthcare services and medical treatments related to Chiropractor. The NPI Number for Michael B. Pettet, Dc, Ps is 1609086784. The last update date is 2009-01-27.
Michael B. Pettet, Dc, Ps's current location address is 11600 Se Mill Plain Blvd, Vancouver, Washington. You can contact this provider via phone number 3602536674. The mailing address for Michael B. Pettet, Dc, Ps is 11600 Se Mill Plain Blvd, Vancouver, Washington. To know further, please read the information below!
Provider Profile Detail
| Provider Organization | Michael B. Pettet, Dc, Ps |
|---|---|
| Address | 11600 Se Mill Plain Blvd, Vancouver, Washington |
| Phone Number | 3602536674 |
| Fax Number | |
| Sole Proprietor | -- |
| Credentials | -- |
Authorized Official
| Title or Position | OWNER |
|---|---|
| Authorized Official Name | Pettet Michael |
| Credentials | DC |
| Telephone Number | 3602536674 |
NPI Number Detail
| NPI Number | 1609086784 |
|---|---|
| Provider Enumeration Date | 2007-05-23 |
| Last Updated Date | 2009-01-27 |
Provider Mailing Address Detail
| Address | 11600 Se Mill Plain Blvd |
|---|---|
| City | Vancouver |
| State | Washington (WA) |
| Post Code | 986845083 |
| Phone Number | 3602536674 |
| Fax Number |
Provider's Primary Taxonomy Detail
| Speciality | Chiropractor |
|---|---|
| Taxonomy | 111N00000X |
| Licence No | 28 3284 |
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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 Michael B. Pettet, Dc, Ps by the Centers for Medicare & Medicaid Services?
The Michael B. Pettet, Dc, Ps has been assigned the NPI (National Provider Identifier) 1609086784 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code serves as a unique identifier for healthcare providers.
Can you provide the Michael B. Pettet, Dc, Ps's physical address?
The Michael B. Pettet, Dc, Ps is physically located at 11600 Se Mill Plain Blvd, in the city of Vancouver, WA, with the postal code 986845083.
What is the area of specialization for Michael B. Pettet, Dc, Ps, and what is the corresponding taxonomy classification code for this field?
The specialized field of practice for Michael B. Pettet, Dc, Ps 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 1609086784 to Michael B. Pettet, Dc, Ps?
The Michael B. Pettet, Dc, Ps received its 1609086784 assignment from the Centers for Medicare & Medicaid Services on 2007-05-23.
As of what date were the Michael B. Pettet, Dc, Ps's details last updated?
The information pertaining to the Michael B. Pettet, Dc, Ps, including its address, specialty, and other details, was most recently updated on 2009-01-27.