BURL PETTIBON (NPI# 1871766154) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1871766154 |
| Entity Type | Organization |
| Organization Name | BURL PETTIBON |
| Practice Address |
7108 Pioneer Way Ste A Gig Harbor WA 98335-1178 |
| Practice Telephone | 2538582474 |
| Practice Fax Number | 2538586511 |
| Mailing Telephone | 2538582474 |
| Mailing Fax Number | 2538586511 |
| Enumeration Date | 2008-04-08 |
| Last Update Date | 2008-04-08 |
| Authorized Official Name | CHRISTIAN COHEN (CHIROPRACTOR) |
| Authorized Official Telephone | 2538582474 |
| Authorized Official Credential | D.C. |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 111N00000X | Chiropractor | CH00000551 | WA | Chiropractic Providers |
| Street Address |
7108 PIONEER WAY STE A |
| City | GIG HARBOR |
| State | WA |
| Zip Code | 98335-1178 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1336607191 | Nw Iom LLC | Specialist/Technologist, Other | 8014 Warren Dr Nw, Gig Harbor, WA 98335 | 2019-03-11 |
| 1760949432 | Mary Patricia Lancefield | Social Worker | Chi Franciscan Health Syste, Ms 53-50, 11567 Canterwood Blvd Nw, Gig Harbor, WA 98335 | 2019-02-28 |
| 1225512312 | Patricia Milligan | Counselor | 3214 50th St Ct Nw Suite 205-c, Gig Harbor, WA 98335 | 2018-09-24 |
| 1164918579 | Communication Therapies LLC | Clinic/Center | 3206 50th St Ct Nw Ste A105, Ste A105, Gig Harbor, WA 98335 | 2018-07-09 |
| 1821503764 | Ashley Ruiz | Social Worker | 7282 Stinson Ave Ste B, Gig Harbor, WA 98335 | 2017-12-13 |
| 1356855076 | Cristie Leigh Campbell | Massage Therapist | 7700 Pioneer Way, Suite 101, Gig Harbor, WA 98335 | 2017-11-17 |
| 1053837856 | Gig Harbor Medical Supplies | Durable Medical Equipment & Medical Supplies | 4810 Pt, Fosdick Dr. Nw, Gig Harbor, WA 98335 | 2017-08-14 |
| 1699219709 | Tanaya Kumar | Dentist | 4901 Point Fosdick Dr. Nw Street 300, Gig Harbor, WA 98335 | 2016-12-08 |
| 1972051076 | Bryce Brown | Chiropractor | 6625 Wagner Way Nw Ste 260d, Gig Harbor, WA 98335 | 2016-09-17 |
| 1144616848 | A Positive Change | Community/Behavioral Health | 5262 Olympic Drive Suite C, Gig Harbor, WA 98335 | 2015-04-09 |
| Find all providers in zip 98335 | ||||
| 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 |
|---|---|---|---|---|
| 1124633466 | Nolan Craig Ethridge | Chiropractor | 11515 Burnham Dr # 101, Gig Harbor, WA 98332-8543 | 2020-09-14 |
| 1871066332 | John Austin Colvill | Chiropractor | 6565 Kimball Dr Ste 101, Gig Harbor, WA 98335-1269 | 2019-01-08 |
| 1972051076 | Bryce Brown | Chiropractor | 6625 Wagner Way Nw Ste 260d, Gig Harbor, WA 98335 | 2016-09-17 |
| 1356726657 | Bo Mullen | Chiropractor | 11511 Canterwood Blvd Nw Ste 210, Gig Harbor, WA 98332-5818 | 2015-07-28 |
| 1184969974 | Family Practice of Chiropractic Inc. P.s. | Chiropractor | 3312 Rosedale St. N.w., Suite 104, Gig Harbor, WA 98335 | 2012-12-05 |
| 1740541911 | Unison Chiropractic, Ps | Chiropractor | 5358 33rd Ave. Nw, Suite 204, Gig Harbor, WA 98335 | 2012-06-05 |
| 1811298599 | Kenneth James Stanton | Chiropractor | 12904 Purdy Dr Nw, Suite C, Gig Harbor, WA 98332-8667 | 2010-11-10 |
| 1366774648 | Russell Lee Kolbo | Chiropractor | 6712 Kimball Dr., #100, Gig Harbor, WA 98335-1220 | 2010-02-11 |
| 1689830002 | Gruber Chiropractic Ps | Chiropractor | 3608 Grandview St, Gig Harbor, WA 98335-1135 | 2008-08-05 |
| 1295901155 | Atlas Family Chiropractic PC | Chiropractor | 3206 50th Street Ct Nw Ste 107, Gig Harbor, WA 98335-8568 | 2008-05-01 |
| Find all providers in GIG HARBOR | ||||
| City | GIG HARBOR |
| Zip Code | 98335 |
Please comment or provide details below to improve the information on BURL PETTIBON.
| 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.