Doctor Name: | JAMES V PERTREE |
NPI Number: | 1154489201 |
Entity Type Code: | Individual (1) |
Gender: | M |
Credentials: | DC |
License Number: | 2496 |
Business Practice Address: | 9220 S Pennsylvania Ave Ste. A Oklahoma City, OK - 731596937 |
Business Phone Number: | 4056912838 |
Business Fax Number: | 4056928807 |
Mailing Address: | 9220 S Pennsylvania Ave, Ste. A OKLAHOMA CITY |
State: | OK |
Postal Code: | 731596937 |
Phone Number: | 4056912838 |
Fax Number: | 4056928807 |
NPI Enumeration Date: | 12/04/2006 |
NPI Last Update Date: | 07/08/2007 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 111N00000X |
License Number: | 2496 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | OK |
Taxonomy Type: | Chiropractic Providers |
Taxonomy Classification: | Chiropractor |
Taxonomy Specialization: | |
Taxonomy 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. |