# DR. JOHNNY C PIERSOL

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- **Entity:** Individual
- **Status:** Active
- **Sole proprietor:** No

## Provider details

- **NPI number:** 1851315204
- **Gender:** Man
- **Credential:** DC DABCO

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 111N00000X | Chiropractor | 480 | WV | — |
| 111N00000X | Chiropractor | DC1373 | OH | Yes |

## Other

- **Enumeration date:** 07/27/2006
- **Last updated:** 08/14/2013

## 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 | — |