Search › California › 111N00000X
Jacob Petway, DC, QME, IIE, BS
NPI 1871938217 · on the registry since 2013
Practice
- Address
- 929 Azusa St
Sacramento, CA 95833 - Phone
- (530) 315-5594
Additional practice sites
- 2209 Plaza Dr Ste 100, Rocklin, CA
Registry record
- Primary taxonomy
- 111N00000X
111N00000X
- Also registered as
- 106S00000X
- Licence states on file
- CA
From the registry's licence fields, which are often incomplete.
- Sex
- Male
- Record last updated
- 2023-04-27
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in California