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Individual
DR. JOHNNY C PIERSOL
Active
Individual
DR. JOHNNY C PIERSOL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DC DABCO
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
480
WV
111N00000X
Chiropractor
Primary
DC1373
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000153105
ANTHEM
—
01
—
000000153106
ANTHEM
—
01
—
000532009
MOUNTAIN STATE BCBS
—
01
—
0131230000
UNISYS
WV
05
—
0690757
—
OH
01
—
4352349
AETNA
—
01
—
55067803701
WV WORKERS COMP
—
01
—
W01373A
HEALTH PLAN
—
Enumeration date
07/27/2006
Last updated
08/14/2013
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