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A. PETKER CHIROPRACTIC & ACUPUNCTURE CLINIC P.A. NPI 1588941389


NPI Information

NPI: 1588941389
Provider Name: A. PETKER CHIROPRACTIC & ACUPUNCTURE CLINIC, P.A.
Classification: Chiropractor - 111N00000X
Entity Type: Organization
Address:
220 MASON AVE
HOLLY HILL, FL
ZIP 32117
Phone: (138) 625-8747
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A. PETKER CHIROPRACTIC & ACUPUNCTURE CLINIC, P.A. is a chiropractor in Holly Hill, FL. The provider is 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 interrelationship with other body systems. A. PETKER CHIROPRACTIC & ACUPUNCTURE CLINIC, P.A. NPI is 1588941389. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

220 MASON AVE
HOLLY HILL, FL
ZIP 32117-039
Phone: (138) 625-8747
Fax: (138) 624-8146

The provider's authorized official is August M Petker .
The authorized official title is President and has the following contact phone number 13862587474.

The enumeration date for this NPI number is 11/8/2011 and was last updated on 11/8/2011.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1111N00000XChiropractorCH3034FLORIDAYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.Other Provider IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
1U19289MEDICARE UPINFLORIDA

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

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