Organization
ADVANCED FAMILY CHIROPRACTIC CENTER
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. CHARLES DOUGLAS PIERSOL DC DACRB (OWNER)
(740) 423-1012
Entity
Organization
Contact information
Practice address
517 MAIN STREET, BELPRE, OH 45714
(740) 423-1012
(740) 423-8579
Mailing address
PO BOX 587, MARIETTA, OH 45750
(740) 423-1012
(740) 423-8579
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0827136
—
OH
05
—
3810006159
—
WV
Enumeration date
09/15/2006
Last updated
10/30/2007
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