Individual
DR. JOHNNY C PIERSOL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DC DABCO
Contact information
Practice address
517 MAIN STREET, BELPRE, OH 45714
(740) 374-3232
(740) 374-6387
Mailing address
P.O. BOX 445, BELPRE, OH 45714
(740) 423-1012
(740) 423-8579
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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