DR. JACOB RICHARD PETWAY (NPI# 1871938217) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1871938217 |
| Entity Type | Individual |
| Full Name | DR. JACOB RICHARD PETWAY |
| Credential | D.C. |
| Practice Address |
1414 E Santa Ana Ave Fresno CA 93704-3436 |
| Practice Telephone | 5593124770 |
| Mailing Telephone | 5593124770 |
| Enumeration Date | 2013-04-29 |
| Last Update Date | 2017-02-18 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 111N00000X | Chiropractor | 32615 | CA | Chiropractic Providers |
| Street Address |
1414 E SANTA ANA AVE |
| City | FRESNO |
| State | CA |
| Zip Code | 93704-3436 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1093090466 | Jennifer H Yun | Pharmacist | 5747 North Palm, Fresno, CA 93704 | 2011-10-18 |
| 1437395704 | Kenneth L. Hallstone | Marriage & Family Therapist | 4040 N. Wilson St., Fresno, CA 93704 | 2008-12-17 |
| 1811147796 | Kenneth S. Masumoto Dds Inc | Dentist | 430 W. Shaw, Fresno, CA 93704 | 2008-09-26 |
| 1578760526 | Wanda Kay Gordon Mcintosh | Social Worker | 5588 N Palm Ave # 10, Fresno, CA 93704 | 2007-07-02 |
| 1285839456 | Alison Elise Armstrong-conner | Psychologist | 6475 N. Palm Avenue, Suite 101, Fresno, CA 93704 | 2007-06-18 |
| 1952519498 | Henry Truong | Student in an Organized Health Care Education/Training Program | 615 E. Clinton Ave., Fresno, CA 93704 | 2007-05-18 |
| 1205042900 | Michelle Kathleen Gash | Clinic/Center | 5464 N Palm Ave # 101, Fresno, CA 93704 | 2007-05-16 |
| 1467674705 | Loyds Liberty Homes, Inc | Intermediate Care Facility, Mentally Retarded | 6520 North Colonial, Fresno, CA 93704 | 2007-05-03 |
| 1952522559 | Dawn Keisha Denise Aholu | Occupational Therapist | 5180 N. Palm, Suite 102, Fresno, CA 93704 | 2007-05-01 |
| 1235359191 | Yolanda Rodriguez Andreatta | Dental Hygienist | 310 W Shaw, Fresno, CA 93704 | 2007-04-25 |
| Find all providers in zip 93704 | ||||
| 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 |
|---|---|---|---|---|
| 1952806168 | Colton King | Chiropractor | 7161 N Howard St Ste 100, Fresno, CA 93720-2981 | 2018-03-28 |
| 1639687650 | Well4work | Chiropractor | 5321 N Fresno St Ste 105c, Fresno, CA 93710-6850 | 2018-01-11 |
| 1356853048 | Texan Chiropractic Center, Pllc | Chiropractor | 2703 Driftwood Bend Dr, Fresno, TX 77545-6140 | 2017-11-02 |
| 1265955470 | Trinity Wellness & Chiropractic | Chiropractor | 8412 N Hayston Ave, Fresno, CA 93720-2348 | 2017-07-19 |
| 1982132353 | Daniel Hopper | Chiropractor | 7191 N Millbrook Ave Ste 116, Fresno, CA 93720-3365 | 2017-05-31 |
| 1821462904 | Dynamic Integrative Health PC | Chiropractor | 1382 E Alluvial Ave Ste 106, Fresno, CA 93720-2699 | 2015-11-30 |
| 1659753648 | Alan Floresca | Chiropractor | 3883 E Calwa Ave, Suite 113, Fresno, CA 93725-2045 | 2015-06-25 |
| 1871862052 | Stoltenberg Chiropractic Professional Corporation | Chiropractor | 7472 N Fresno St Ste 206, Fresno, CA 93720-2459 | 2011-12-18 |
| 1689959363 | Cyndy L Curry | Chiropractor | 1706 E Bullard Ave Ste 101, Fresno, CA 93710-5867 | 2011-10-13 |
| 1619267424 | Vartan John Djabrayan | Chiropractor | 30 E Minarets Ave, Fresno, CA 93650-1215 | 2011-04-13 |
| Find all providers in FRESNO | ||||
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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.