Petry Chiropractic Wellness Llc in Edgerton - Chiropractor
Petry Chiropractic Wellness Llc - NPI 1932306743
Petry Chiropractic Wellness Llc is a Chiropractor in Edgerton, Wisconsin. Petry Chiropractic Wellness Llc practices all healthcare services and medical treatments related to Chiropractor. The NPI Number for Petry Chiropractic Wellness Llc is 1932306743. The last update date is 2020-08-22.
Petry Chiropractic Wellness Llc's current location address is 21 Swift St, Edgerton, Wisconsin. You can contact this provider via phone number 6088843100 and fax number 6088843199. The mailing address for Petry Chiropractic Wellness Llc is 21 Swift St, Edgerton, Wisconsin. To know further, please read the information below!
Provider Profile Detail
| Provider Organization | Petry Chiropractic Wellness Llc |
|---|---|
| Address | 21 Swift St, Edgerton, Wisconsin |
| Phone Number | 6088843100 |
| Fax Number | 6088843199 |
| Sole Proprietor | -- |
| Credentials | -- |
Authorized Official
| Title or Position | DOCTOR OF |
|---|---|
| Authorized Official Name | Petry Anthony John |
| Credentials | D.C. |
| Telephone Number | 6088842041 |
NPI Number Detail
| NPI Number | 1932306743 |
|---|---|
| Provider Enumeration Date | 2007-06-27 |
| Last Updated Date | 2020-08-22 |
Provider Mailing Address Detail
| Address | 21 Swift St |
|---|---|
| City | Edgerton |
| State | Wisconsin (WI) |
| Post Code | 535341843 |
| Phone Number | 6088843100 |
| Fax Number | 6088843199 |
Provider's Primary Taxonomy Detail
| Speciality | Chiropractor |
|---|---|
| Taxonomy | 111N00000X |
| Licence No | 3878 |
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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 identifier code issued to Petry Chiropractic Wellness Llc by the Centers for Medicare & Medicaid Services?
The Petry Chiropractic Wellness Llc has been assigned the NPI (National Provider Identifier) 1932306743 by the CMS (Centers for Medicare & Medicaid Services). This 10-digit code serves as a unique identification number for healthcare providers.
Could you please provide the complete street address where Petry Chiropractic Wellness Llc is physically located?
The Petry Chiropractic Wellness Llc is physically situated at the following address: 21 Swift St, Edgerton, WI, 535341843.
What is the area of specialization for Petry Chiropractic Wellness Llc, and what is the corresponding taxonomy classification code for this field?
The specialized field of practice for Petry Chiropractic Wellness Llc 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 originally issue the 1932306743 to Petry Chiropractic Wellness Llc?
The Centers for Medicare & Medicaid Services originally issued the 1932306743 to Petry Chiropractic Wellness Llc on 2007-06-27.
As of what date were the Petry Chiropractic Wellness Llc's details last updated?
The information pertaining to the Petry Chiropractic Wellness Llc, including its address, specialty, and other details, was most recently updated on 2020-08-22.
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