Provider Demographics
NPI:1306182779
Name:PIERNICKY, GERALD VINCENT (DC)
Entity Type:Individual
Prefix:DR
First Name:GERALD
Middle Name:VINCENT
Last Name:PIERNICKY
Suffix:
Gender:M
Credentials:DC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:4951 CENTER ST
Mailing Address - Street 2:SUITE LL
Mailing Address - City:OMAHA
Mailing Address - State:NE
Mailing Address - Zip Code:68106-3251
Mailing Address - Country:US
Mailing Address - Phone:402-305-4344
Mailing Address - Fax:
Practice Address - Street 1:4951 CENTER ST
Practice Address - Street 2:SUITE LL
Practice Address - City:OMAHA
Practice Address - State:NE
Practice Address - Zip Code:68106-3251
Practice Address - Country:US
Practice Address - Phone:402-305-4344
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2012-12-12
Last Update Date:2012-12-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NE1469111NR0400X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111NR0400XChiropractic ProvidersChiropractorRehabilitation