John Anthony Petry in Edgerton - Sports Physician
John Anthony Petry - NPI 1851426472
John Anthony Petry is a Sports Physician in Edgerton, Wisconsin. John Anthony Petry practices all healthcare services and medical treatments related to Sports Physician. The NPI Number for John Anthony Petry is 1851426472. The last update date is 2011-09-22.
John Anthony Petry's current location address is 75 W Fulton St, Edgerton, Wisconsin. You can contact this provider via phone number 6088843100 and fax number 6088843199. The mailing address for John Anthony Petry is 75 W Fulton St, Edgerton, Wisconsin. To know further, please read the information below!
Provider Profile Detail
| Provider Name | John Anthony Petry |
|---|---|
| Address | 75 W Fulton St, Edgerton, Wisconsin |
| Phone Number | 6088843100 |
| Fax Number | 6088843199 |
| Sole Proprietor | N |
| Credentials | D.C. |
NPI Number Detail
| NPI Number | 1851426472 |
|---|---|
| Provider Enumeration Date | 2007-02-22 |
| Last Updated Date | 2011-09-22 |
Provider Mailing Address Detail
| Address | 75 W Fulton St |
|---|---|
| City | Edgerton |
| State | Wisconsin (WI) |
| Post Code | 535341819 |
| Phone Number | 6088843100 |
| Fax Number | 6088843199 |
Provider's Primary Taxonomy Detail
| Speciality | Sports Physician |
|---|---|
| Taxonomy | 111Ns0005X |
| Licence No | 3878 |
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Definition: A sports chiropractor is uniquely trained to provide care and treatment of injuries or illness resulting from sports and physical fitness activities. Doctors of Chiropractic with the Diplomate American Chiropractic Board of Sports Physicians (DACBSP) |
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What is the unique 10-digit identifier code issued to John Anthony Petry by the Centers for Medicare & Medicaid Services?
The John Anthony Petry has been assigned the NPI (National Provider Identifier) 1851426472 by the CMS (Centers for Medicare & Medicaid Services). This 10-digit code serves as a unique identification number for healthcare providers.
Could you provide the complete address where John Anthony Petry is physically located?
The John Anthony Petry is situated at the following address: 75 W Fulton St, Edgerton, WI 535341819.
What is John Anthony Petry's specialized field of practice, and what is the corresponding taxonomy classification code?
The John Anthony Petry's area of specialization is Sports Physician, and the corresponding taxonomy code that categorizes this field of practice is 111Ns0005X.
On what date did the Centers for Medicare & Medicaid Services originally issue the 1851426472 to John Anthony Petry?
The Centers for Medicare & Medicaid Services originally issued the 1851426472 to John Anthony Petry on 2007-02-22.
As of what date was the information pertaining to John Anthony Petry, such as address, specialty, and other details, last reviewed and confirmed to be accurate?
The information related to John Anthony Petry, including its address, specialty, and other relevant details, was last reviewed and confirmed to be accurate on 2011-09-22.
NPI Number: 1902809924
Address: 2400 W Main St, Rock Hill, SC