Provider Demographics
NPI:1447263215
Name:PINOTTI, JEFFREY H (DC)
Entity type:Individual
Prefix:
First Name:JEFFREY
Middle Name:H
Last Name:PINOTTI
Suffix:
Gender:M
Credentials:DC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2692 W WALNUT ST
Mailing Address - Street 2:SUITE 105
Mailing Address - City:GARLAND
Mailing Address - State:TX
Mailing Address - Zip Code:75042-6474
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:2692 W WALNUT ST
Practice Address - Street 2:SUITE 105
Practice Address - City:GARLAND
Practice Address - State:TX
Practice Address - Zip Code:75042-6474
Practice Address - Country:US
Practice Address - Phone:972-494-2676
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2006-08-14
Last Update Date:2007-07-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX4697111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor
Provider Identifiers
StateIdentifier IDID TypeIssuer
TXU44680Medicare UPIN