Jack A. Pedersen, D.C.
Chiropractor · Colleyville, TX
Practice location
7155 Colleyville BlvdSte 103
Colleyville, TX 76034-8003
- Phone
- (817) 251-7328
- Fax
- (817) 421-7380
NPI record
- NPI
- 1164484895
- Entity type
- Individual (Type 1)
- Enumeration date
- April 6, 2006
- Last updated
- January 5, 2015
- Sole proprietor
- Yes
Specialties & taxonomy codes
| Taxonomy | Code | License | State |
|---|---|---|---|
| Chiropractor Primary | 111N00000X |
2471 | TX |
About Dr. Pedersen
Jack A. Pedersen, D.C. is a healthcare provider registered in the NPI registry with the primary taxonomy Chiropractor (code 111N00000X). The practice location is 7155 Colleyville Blvd, Ste 103, Colleyville, TX 76034-8003. The NPI number 1164484895 was assigned on April 6, 2006 and the record was last updated on January 5, 2015.
Dr. Pedersen lists a license in the registry: #2471 (TX) for Chiropractor. License numbers are self-reported to NPPES; verify them with the state licensing board.
Frequently asked questions
What is the NPI number of Jack A. Pedersen, D.C.?
The NPI number is 1164484895.
What is the phone number of Dr. Pedersen?
The phone number listed for the practice location is (817) 251-7328.
Where is Dr. Pedersen located?
7155 Colleyville Blvd, Ste 103, Colleyville, TX 76034-8003.
What is the taxonomy code for Dr. Pedersen?
The primary taxonomy code is 111N00000X – Chiropractor.
Is this information correct?
All details come from the public NPPES registry. Providers can update their record at nppes.cms.hhs.gov; changes appear here after the next weekly update.
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