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Active NPI 1821121872 Organization (Entity Type 2)

John E Petty Dc Pc

Chiropractor • Longview, TX

About John E Petty Dc Pc NPI 1821121872 Summary

John E Petty Dc Pc is a verified healthcare organization specializing in Chiropractor operating in Longview, TX. Located at 452 FOREST SQ, this facility provides patient care and medical services under National Provider Identifier (NPI) 1821121872.

Administrative operations and authorized compliance are overseen by John Petty (Owner).

The facility is associated with 1 linked healthcare practitioner providing clinical services.

Facility Location & Contact Primary Location

Facility Address

452 Forest Sq

Longview, TX 756054401

Telephone 9037573400
Fax 9037539663

Authorized Official Information

Authorized Contact Name

DR. John Petty , D.C.

Title / Role

Owner

Official Telephone

9037573400

Facility Classifications & Specialties

Chiropractor Primary Taxonomy

NUCC Taxonomy Code: 111N00000X

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.

Affiliated Practitioners & Clinicians

Healthcare professionals and specialists practicing at this facility or affiliated group locations

1 Linked
Kelly Lindsay NPI 1902208226

Massage Therapist

Longview, TX

View Practitioner Profile →

Facility & Registry History Timeline

Chronological log of verified NPI organization updates, branch relocations, and registry updates

6 Historical Events
NPI Profile Active September 21, 2011

NPI status registered as active in NPPES database

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Updated Practice Location September 21, 2011

Registered at 452 FOREST SQ, LONGVIEW, TX 756054401 (Tel: 9037573400)

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Updated Business Mailing Address September 21, 2011

Registered at 452 FOREST SQ, LONGVIEW, TX 756054401 (Tel: 9037573400)

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Organization / Clinic Name Updated September 21, 2011

Operating as JOHN E PETTY DC PC

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Medical Taxonomy / Specialty Registered (Primary Specialty) September 21, 2011

Chiropractor (License #2365 in TX)

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Initial NPI Registration & Enumeration March 13, 2007

First registered as active Healthcare Organization in NPPES Database.

Patient & Community Reviews

Verified patient ratings, healthcare experiences, and facility photos

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NPI Organization Metadata

NPI Number: 1821121872
Entity Type:
Organization Organization (Hospital, Clinic, Group Practice) (Type 2 NPI)
Enumeration Date: March 13, 2007
Last Update: September 21, 2011

Mailing Address

452 Forest Sq

Longview, TX 756054401

Phone: 9037573400

Public Domain Record This organization profile is sourced from public domain datasets published by CMS and NPPES under FOIA.
⚠️ Medical Disclaimer

Facility details are provided for public information only. In case of a medical emergency, call 911 immediately.