Individual
DR. RICHARD E PETTIT
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.C.
Contact information
Practice address
19 TOWNSEND ST, GREENWICH, OH 44837-1131
(419) 752-4905
(419) 752-4905
Mailing address
19 TOWNSEND ST, GREENWICH, OH 44837-1131
(419) 752-4905
(419) 752-4905
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
132
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0232108
—
OH
01
—
34117335800
WORKERS COMPENSATION
OH
Enumeration date
06/30/2005
Last updated
11/23/2011
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