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Dr. Mark Edgar Pettay, DC
Chiropractor in Groveport, Ohio
NPI 1407979313

Mark Edgar Pettay is a Chiropractor based in Groveport, OH. Mark Edgar Pettay practices in Groveport, OH and has the professional credentials of DC. The NPI Number for Mark Edgar Pettay is 1407979313 and holds a License No. 1755 (Ohio).

The current practice location address for Mark Edgar Pettay is 495 Main St, Groveport, OH and can be reached out via phone at 614-836-7227 and via fax at 614-836-3038.

Location: 495 Main St, Groveport, OH, 43125-1184
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1407979313
Provider Name
Mark Edgar Pettay
Credential
DC
Provider Entity Type
Individual
Gender
Male
Address
495 Main St, Groveport, OH, 43125-1184
Phone Number
614-836-7227
Fax Number
614-836-3038
Provider Enumeration Date
04/06/2007
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
311462245 01 OH TAX ID
institution
Provider Business Practice Location Address Details
Address
495 Main St
City
Groveport
State
Ohio
Zip
43125-1184
Phone Number
614-836-7227
Fax Number
614-836-3038
person
Provider Business Mailing Address Details
Address
495 Main St
City
Groveport
State
Ohio
Zip
43125-1184
Phone Number
614-836-7227
Fax Number
614-836-3038
person
Provider's Taxonomy Details 1
Type
Chiropractic Providers
Classification
Chiropractor
Speciality
-
Taxonomy
111N00000X
License No.
1755 (Ohio)
Definition
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.
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