Provider Demographics
NPI:1861453821
Name:PEARSALL, DONALD S (DC)
Entity Type:Individual
Prefix:DR
First Name:DONALD
Middle Name:S
Last Name:PEARSALL
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 1:275 TONEY PENNA DR
Mailing Address - Street 2:SUITE 12
Mailing Address - City:JUPITER
Mailing Address - State:FL
Mailing Address - Zip Code:33458
Mailing Address - Country:US
Mailing Address - Phone:561-746-4242
Mailing Address - Fax:561-746-7405
Practice Address - Street 1:275 TONEY PENNA DR
Practice Address - Street 2:SUITE 12
Practice Address - City:JUPITER
Practice Address - State:FL
Practice Address - Zip Code:33458
Practice Address - Country:US
Practice Address - Phone:561-746-4242
Practice Address - Fax:561-746-7405
Is Sole Proprietor?:Yes
Enumeration Date:2006-03-30
Last Update Date:2010-07-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLCH0003439111N00000X, 171100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor
No171100000XOther Service ProvidersAcupuncturist
Provider Identifiers
StateIdentifier IDID TypeIssuer
88540Medicare ID - Type Unspecified
T55873Medicare UPIN