Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
DR. JAY L. PETTIS, D.C.
ActiveDR. JAY L. PETTIS, D.C. is a Chiropractor healthcare provider located in EAGAN, Minnesota. NPI 1548215320 is currently active in the NPPES registry. Verify at CMS.
Chiropractor · EAGAN, MN
Registration Details
- NPI Number
- 1548215320
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- May 23, 2006 (20.197980064942 yrs)
- Last Updated
- Nov 16, 2007
- License
-
4807 (MN)
Practice Information
- Address
-
1570 CENTURY POINTEAGAN, MN, 55121Browse MN providers · Browse ZIP 55121
- Phone
- 6514053990
- Fax
- 6514056627
- Primary Specialty
-
Chiropractor
111N00000X
Other Chiropractor Providers in EAGAN, MN
| Name | Credential | NPI |
|---|---|---|
| DR. CHRISTOPHER ALAN JOHNSON | D.C. | 1598765448 |
| DR. SCOTT D SAMMON | DC | 1861479867 |
| DR. CASEY C SMITH | D.C. | 1306823265 |
| DR. TIMOTHY E WEGSCHEID | D.C. | 1811966476 |
| SARAH ANN NUNDAHL | DO | 1174534028 |
| DR. MICHAEL JAY DECKERT | D.C. | 1245344035 |
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.