Provider Demographics
NPI:1639750474
Name:THOMAS PIERCE DC PLLC
Entity Type:Organization
Organization Name:THOMAS PIERCE DC PLLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:MANAGING MEMBER
Authorized Official - Prefix:
Authorized Official - First Name:THOMAS
Authorized Official - Middle Name:
Authorized Official - Last Name:PIERCE
Authorized Official - Suffix:
Authorized Official - Credentials:DC
Authorized Official - Phone:617-752-4138
Mailing Address - Street 1:379
Mailing Address - Street 2:W. BROADWAY
Mailing Address - City:SOUTH BOSTON
Mailing Address - State:MA
Mailing Address - Zip Code:02127-2217
Mailing Address - Country:US
Mailing Address - Phone:617-752-4138
Mailing Address - Fax:
Practice Address - Street 1:379
Practice Address - Street 2:W. BROADWAY
Practice Address - City:SOUTH BOSTON
Practice Address - State:MA
Practice Address - Zip Code:02127-2217
Practice Address - Country:US
Practice Address - Phone:617-752-4138
Practice Address - Fax:617-752-4127
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2021-04-14
Last Update Date:2021-04-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes111N00000XChiropractic ProvidersChiropractorGroup - Single Specialty