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Dr. Jay L. Pettis, DC
Chiropractor in Eagan, Minnesota
NPI 1548215320

Jay L. Pettis is a Chiropractor based in Eagan, MN. Jay L. Pettis practices in Eagan, MN and has the professional credentials of DC. The NPI Number for Jay L. Pettis is 1548215320 and holds a License No. 4807 (Minnesota).

The current practice location address for Jay L. Pettis is 1570 Century Point, Eagan, MN and can be reached out via phone at 651-405-3990 and via fax at 651-405-6627.

Location: 1570 Century Point, Eagan, MN, 55121
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1548215320
Provider Name
Jay L. Pettis
Credential
DC
Provider Entity Type
Individual
Gender
Male
Address
1570 Century Point, Eagan, MN, 55121
Phone Number
651-405-3990
Fax Number
651-405-6627
Provider Enumeration Date
05/23/2006
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
534G2PE 01 BCBS
institution
Provider Business Practice Location Address Details
Address
1570 Century Point
City
Eagan
State
Minnesota
Zip
55121
Phone Number
651-405-3990
Fax Number
651-405-6627
person
Provider Business Mailing Address Details
Address
1570 Century Point
City
Eagan
State
Minnesota
Zip
55121
Phone Number
651-405-3990
Fax Number
651-405-6627
person
Provider's Taxonomy Details 1
Type
Chiropractic Providers
Classification
Chiropractor
Speciality
-
Taxonomy
111N00000X
License No.
4807 (Minnesota)
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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