Provider Demographics
NPI:1467531103
Name:PIERCE, JASON (DC)
Entity Type:Individual
Prefix:DR
First Name:JASON
Middle Name:
Last Name:PIERCE
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 1:26180 EQUITY DR STE A
Mailing Address - Street 2:
Mailing Address - City:DAPHNE
Mailing Address - State:AL
Mailing Address - Zip Code:36526-6162
Mailing Address - Country:US
Mailing Address - Phone:251-621-9500
Mailing Address - Fax:251-621-9540
Practice Address - Street 1:26180 EQUITY DR STE A
Practice Address - Street 2:
Practice Address - City:DAPHNE
Practice Address - State:AL
Practice Address - Zip Code:36526-6162
Practice Address - Country:US
Practice Address - Phone:251-621-9500
Practice Address - Fax:251-621-9540
Is Sole Proprietor?:No
Enumeration Date:2006-11-03
Last Update Date:2008-08-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AL1899111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor