Individual
PATRICK FETTA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.C.
Contact information
Practice address
10205 STAPLES MILL RD, GLEN ALLEN, VA 23060-3065
(804) 672-7050
(804) 672-0661
Mailing address
10205 STAPLES MILL RD, GLEN ALLEN, VA 23060-3065
(804) 672-7050
(804) 672-0661
Taxonomy
Speciality
Code
Description
License number
State
111NX0800X
Orthopedic Chiropractor
Primary
0104000431
VA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
083332
ANTHEM BLUE CROSS BLUE SHIELD
VA
Enumeration date
11/19/2008
Last updated
11/19/2008
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