Chad Jeremy Petterson
Chiropractor
825 Bahls Drive
Hastings
, Minnesota 55033
Chad Jeremy Petterson
Chiropractor
825 Bahls Drive
Hastings
, Minnesota 55033
(651) 438-3929
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About
Features
Specialties
- Chiropractor
Languages spoken
- English
Location
First Address
- Chad Jeremy Petterson
- 825 Bahls Drive
- Hastings, MN
- Zip : 55033
- Fax : (651) 438-3929
- Phone : (651) 480-1128
Second Address
- Chad Jeremy Petterson
- 825 Bahls Drive
- Hastings, MN
- Zip : 55033
- Fax : (651) 438-3929
- Phone : (651) 480-1128
Reviews
FAQs
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| Y | 111N00000X | Chiropractor | 3748 | MN |
National Provider Identifier
| NPI | 1003986886 |
|---|---|
| Provider Name | Chad Jeremy Petterson |
| First Address | Hastings, MN 55033 |
| Second Address | Hastings, MN 55033 |
| Gender | M |
| NPI Entity type | Individual |
| Is Sole Proprietor | No |
| Is Organization Subpart | N/A |
| Enumeration Date | 08/11/2006 |
| Last Update Date | 08/07/2007 |
Additional Identifiers
| IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
|---|---|---|
| 106179 | HEALTH PARTNERS # (01) | MN |
| 198G8PE | BLUE CROSS BLUE SHIELD # (01) | MN |
| CO3874 | MEDICARE GROUP # (01) | MN |
| U78007 | (02) |
NPI Footnotes
What is the National Provider Identifier (NPI)
Provider Location Address
Provider Mailing Address
Entity Type Code
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)
What is a Subpart?
Provider Other Organization Name
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.