Provider Demographics
NPI:1790855377
Name:SHARON J. PIGNOLET, D.C., P.C.
Entity Type:Organization
Organization Name:SHARON J. PIGNOLET, D.C., P.C.
Other - Org Name:DOVE CHIROPRACTIC HEALTH CENTER
Other - Org Type:Doing Business As
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:SHARON
Authorized Official - Middle Name:J
Authorized Official - Last Name:PIGNOLET
Authorized Official - Suffix:
Authorized Official - Credentials:DC
Authorized Official - Phone:817-410-2225
Mailing Address - Street 1:206 N DOVE RD
Mailing Address - Street 2:
Mailing Address - City:GRAPEVINE
Mailing Address - State:TX
Mailing Address - Zip Code:76051-3105
Mailing Address - Country:US
Mailing Address - Phone:817-410-2225
Mailing Address - Fax:817-251-1509
Practice Address - Street 1:206 N DOVE RD
Practice Address - Street 2:
Practice Address - City:GRAPEVINE
Practice Address - State:TX
Practice Address - Zip Code:76051-3105
Practice Address - Country:US
Practice Address - Phone:817-410-2225
Practice Address - Fax:817-251-1509
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-11-09
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX6585261Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261Q00000XAmbulatory Health Care FacilitiesClinic/Center
Provider Identifiers
StateIdentifier IDID TypeIssuer
TXU56987Medicare UPIN
TX605203Medicare ID - Type Unspecified