Provider Demographics
NPI:1205867959
Name:PIGG, JOSEPH C (DC)
Entity type:Individual
Prefix:DR
First Name:JOSEPH
Middle Name:C
Last Name:PIGG
Suffix:
Gender:M
Credentials:DC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
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Other - Credentials:
Mailing Address - Street 1:286 E HAMILTON AVE
Mailing Address - Street 2:SUITE K
Mailing Address - City:CAMPBELL
Mailing Address - State:CA
Mailing Address - Zip Code:95008-0242
Mailing Address - Country:US
Mailing Address - Phone:408-374-3242
Mailing Address - Fax:408-379-6175
Practice Address - Street 1:286 E HAMILTON AVE
Practice Address - Street 2:SUITE K
Practice Address - City:CAMPBELL
Practice Address - State:CA
Practice Address - Zip Code:95008-0242
Practice Address - Country:US
Practice Address - Phone:408-374-3242
Practice Address - Fax:408-379-6175
Is Sole Proprietor?:Yes
Enumeration Date:2006-07-05
Last Update Date:2017-05-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CADC27150111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor
Provider Identifiers
StateIdentifier IDID TypeIssuer
CAU89042Medicare UPIN