John E Petty DC PC

Chiropractor · Longview, TX

Organization Active NPI

NPI number 1821121872

Practice location

452 Forest Sq
Longview, TX 75605-4401
Phone
(903) 757-3400
Fax
(903) 753-9663

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NPI record

NPI
1821121872
Entity type
Organization (Type 2)
Enumeration date
March 13, 2007
Last updated
September 21, 2011
Organization subpart
No

Specialties & taxonomy codes

TaxonomyCodeLicenseState
Chiropractor Primary 111N00000X 2365 TX

Authorized official

Name
Dr. John E Petty, D.C.
Title
Owner
Phone
(903) 757-3400

About John E Petty DC PC

John E Petty DC PC is a healthcare organization registered in the NPI registry with the primary taxonomy Chiropractor (code 111N00000X). The practice location is 452 Forest Sq, Longview, TX 75605-4401. The NPI number 1821121872 was assigned on March 13, 2007 and the record was last updated on September 21, 2011.

John E Petty DC PC lists a license in the registry: #2365 (TX) for Chiropractor. License numbers are self-reported to NPPES; verify them with the state licensing board.

The authorized official for this organization is Dr. John E Petty, D.C., Owner.

Frequently asked questions

What is the NPI number of John E Petty DC PC?

The NPI number is 1821121872.

What is the phone number of John E Petty DC PC?

The phone number listed for the practice location is (903) 757-3400.

Where is John E Petty DC PC located?

452 Forest Sq, Longview, TX 75605-4401.

What is the taxonomy code for John E Petty DC PC?

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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