Advanced Family Chiropractic LLC
Organization Active NPI Chiropractor · Belpre, OH
NPI 1508299587 · NPPES record last updated Oct 15, 2013
Key facts
- NPI
- 1508299587
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Chiropractor 111N00000X
- Legal business name
- ADVANCED FAMILY CHIROPRACTIC LLC
- Practice address
- 517 Main St
Belpre, OH 45714-1617 - Phone
- (740) 423-1012
- Fax
- (740) 423-8579
- NPI assigned
- Aug 14, 2013
- Organization subpart
- No
Authorized official
- Name
- Dr. Johnny C Piersol, DC
- Title
- Owner
- Phone
- (740) 423-1012
Other NPIs on the same Medicare enrollment 1
Practitioners 1
-
Johnny C Piersol, DC DABCO
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in OH
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20131015000937 | OH | Part B Supplier - Clinic/Group Practice | 2769616358 |
Receives reassigned benefits from 1 practitioner 1 other NPI on this enrollment Practice locations: Belpre, OH |
National Provider Directory
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Chiropractor |
111N00000X | Yes |
Addresses
Primary practice location
517 Main St
Belpre, OH 45714-1617
Mailing address
PO Box 445
Belpre, OH 45714-0445
Phone (740) 423-1012
Other providers in Belpre, OH
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Oct 15, 2013. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.