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Individual

CHARLES DOUGLAS PIERSOL

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
DC DACRB

Contact information

Practice address
326 3RD ST, MARIETTA, OH 45750-2994
(740) 374-3232
(740) 374-6387
Mailing address
PO BOX 965, MARIETTA, OH 45750
(740) 374-3232
(740) 374-6387

Taxonomy

Speciality
Code
Description
License number
State
111N00000X
Chiropractor
479
WV
111N00000X
Chiropractor
Primary
DC1372
OH
111NR0400X
Rehabilitation Chiropractor
1372
OH

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
000000153108
ANTHEM
01
000000153109
ANTHEM
01
000000191919
UNITED HEALTH CARE MEDICAID
OH
01
000194827
MOUNTAIN STATE BCBS
01
0131222000
UNISYS
WV
05
0690766
OH
01
23288676004
MEDICAL MUTUAL
01
4352320
AETNA
01
55067803701
WV WORKERS COMP
01
W01372A
HEALTH PLAN
Enumeration date
07/28/2006
Last updated
10/05/2011
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