Provider Demographics
NPI:1013052174
Name:PIERZCHALA, STEVEN THOMAS (DC)
Entity Type:Individual
Prefix:DR
First Name:STEVEN
Middle Name:THOMAS
Last Name:PIERZCHALA
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 1:5725 FOX HOLLOW CT
Mailing Address - Street 2:
Mailing Address - City:SYLVANIA
Mailing Address - State:OH
Mailing Address - Zip Code:43560-4216
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:7135 SYLVANIA AVE
Practice Address - Street 2:BLDG 1-B
Practice Address - City:SYLVANIA
Practice Address - State:OH
Practice Address - Zip Code:43560-3530
Practice Address - Country:US
Practice Address - Phone:419-841-3273
Practice Address - Fax:419-841-0274
Is Sole Proprietor?:Yes
Enumeration Date:2007-02-20
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OH1343111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor
Provider Identifiers
StateIdentifier IDID TypeIssuer
OHP10607133Medicaid
OHP10607133Medicaid