PETTIT CHIROPRACTIC HEALTH CENTER INC. (NPI# 1699834093) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1699834093 |
| Entity Type | Organization |
| Organization Name | PETTIT CHIROPRACTIC HEALTH CENTER INC. |
| Other Organization Name | JEFFERSON CHIROPRACTIC |
| Practice Address |
1412 Jefferson Road Jefferson PA 15344 |
| Mailing Address |
Po Box 211 Jefferson PA 15344-0211 |
| Practice Telephone | 7248833733 |
| Practice Fax Number | 7248834766 |
| Mailing Telephone | 7248833733 |
| Mailing Fax Number | 7248834766 |
| Enumeration Date | 2006-12-08 |
| Last Update Date | 2020-08-22 |
| Authorized Official Name | DR. L. RANDY PETTIT (PRESIDENT) |
| Authorized Official Telephone | 7248833733 |
| Authorized Official Credential | D.C. |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 111N00000X | Chiropractor | DC009220 | PA | Chiropractic Providers |
| Other Name | Type Code |
|---|---|
| Jefferson Chiropractic | Doing Business As Name - Organization |
| Street Address |
1412 JEFFERSON ROAD |
| City | JEFFERSON |
| State | PA |
| Zip Code | 15344 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1396051371 | Dr. Donnie Novak LLC | Chiropractor | 1412 Jefferson Road, Jefferson, PA 15344 | 2010-08-27 |
| 1770768632 | Donald I Novak | Chiropractor | 1412 Jefferson Road, Jefferson, PA 15344 | 2008-01-09 |
| 1841351152 | L. Randy Pettit | Chiropractor | 1412 Jefferson Road, Jefferson, PA 15344 | 2006-12-12 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1801339171 | Rachael Moon | Specialist/Technologist | 1351 Jefferson Rd, Jefferson, PA 15344 | 2016-11-18 |
| 1457303422 | Jefferson-morgan School District | Local Education Agency (LEA) | 1351 Jefferson Rd, Jefferson, PA 15344-4100 | 2006-05-17 |
| 1114910452 | Jefferson Volunteer Fire Co | Ambulance | 1483 Jefferson Rd, Jefferson, PA 15344-4154 | 2005-08-23 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1154922904 | Hayley Allen | Pharmacist | 2667 Maple Rd, Jefferson, OH 44047-9751 | 2020-11-06 |
| 1619574753 | Jean Carolyn Sheffield | Home Health Aide | 2770 Sylvia Ave, Jefferson, OH 44047-9774 | 2020-10-01 |
| 1346857463 | Jefferson Counseling, LLC | Counselor | 20 Lee St Ste 5, Jefferson, GA 30549-6327 | 2020-09-24 |
| 1982214763 | Kempo Corporation | Clinical Medical Laboratory | 6096 Highway 151, Jefferson, SC 29718-5813 | 2020-08-05 |
| 1245858323 | Jamie Anne Taylor | Massage Therapist | 3511 River Rd Ste B, Jefferson, LA 70121-4162 | 2020-07-06 |
| 1861019739 | Thomas R. Dupree Jr. | Nurse Practitioner | 321 Brooks, Jefferson, TX 75657-4443 | 2020-06-26 |
| 1750908620 | Tammy K Dupree | Nurse Practitioner | 321 Brooks # 321, Jefferson, TX 75657-4443 | 2020-06-26 |
| 1851917710 | Lux Psychiatry, Pllc | Psychiatry & Neurology | 101 Colvard Street, Jefferson, NC 28640 | 2020-06-17 |
| 1831714187 | Danielle Rowe | Dentist | 1363 Pendergrass Rd, Jefferson, GA 30549-3054 | 2020-06-12 |
| 1962027425 | Melody Johnson | Social Worker | 2401 Audubon Trce, Jefferson, LA 70121-1554 | 2020-06-10 |
| Find all providers in JEFFERSON | ||||
| Taxonomy Code | 111N00000X |
| Grouping | Chiropractic Providers |
| Classification | Chiropractor |
| 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. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1295248375 | Leah Renwanz | Chiropractor | 1407 N Elm St, Jefferson, IA 50129-1012 | 2017-11-10 |
| 1881128916 | Philip Heisterkamp | Chiropractor | 101 N Chestnut St, Jefferson, IA 50129-2101 | 2017-04-14 |
| 1194077511 | Miller Chiropractic Center, Inc. | Chiropractor | 206 N Grimmell Rd, Jefferson, IA 50129-1732 | 2012-10-09 |
| 1932382660 | Baldwin Chiropractic Clinic | Chiropractor | 203 Long St, Suite B, Jefferson, NC 28640-9518 | 2007-12-17 |
| 1487841896 | Todjide Satorey Evans | Chiropractor | 22 S Public Sq, Jefferson, GA 30549-1502 | 2007-09-29 |
| 1124210406 | Daniel A. Lander | Chiropractor | 583 Augusta Rd, Jefferson, ME 04348-4038 | 2007-08-10 |
| 1669689923 | Patrick Lynn Hart | Chiropractor | 277 North Second Street, Jefferson, OR 97352-0621 | 2007-05-17 |
| 1518099852 | Gregory M. Ray | Chiropractor | 24 W Pine St, Jefferson, OH 44047-1022 | 2007-03-12 |
| 1477608602 | Norma Lee Tierney | Chiropractor | 2441 Rt 46 South, Jefferson, OH 44047-8509 | 2007-01-25 |
| 1073672036 | Martin W Miller | Chiropractor | 206 N Grimmell Road, Jefferson, IA 50129 | 2006-12-06 |
| Find all providers in JEFFERSON | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.