Provider Demographics
NPI:1619074770
Name:PIEDMONT, JANICE M (DC)
Entity Type:Individual
Prefix:
First Name:JANICE
Middle Name:M
Last Name:PIEDMONT
Suffix:
Gender:F
Credentials:DC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1737 ERICKSON AVE
Mailing Address - Street 2:
Mailing Address - City:HARRISONBURG
Mailing Address - State:VA
Mailing Address - Zip Code:22801
Mailing Address - Country:US
Mailing Address - Phone:540-432-6860
Mailing Address - Fax:540-432-0176
Practice Address - Street 1:1737 ERICKSON AVE
Practice Address - Street 2:
Practice Address - City:HARRISONBURG
Practice Address - State:VA
Practice Address - Zip Code:22801
Practice Address - Country:US
Practice Address - Phone:540-432-6860
Practice Address - Fax:540-432-0176
Is Sole Proprietor?:No
Enumeration Date:2006-09-20
Last Update Date:2016-01-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
VA0104000680111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor
Provider Identifiers
StateIdentifier IDID TypeIssuer
VA058352OtherANTHEM
VA058352OtherANTHEM