Provider Demographics
NPI:1336618875
Name:PIRCHER, VIOLA (LAC)
Entity Type:Individual
Prefix:
First Name:VIOLA
Middle Name:
Last Name:PIRCHER
Suffix:
Gender:F
Credentials:LAC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:260 CEDAR GROVE CIR
Mailing Address - Street 2:
Mailing Address - City:BEAUFORT
Mailing Address - State:SC
Mailing Address - Zip Code:29902-6347
Mailing Address - Country:US
Mailing Address - Phone:843-605-1086
Mailing Address - Fax:
Practice Address - Street 1:1214 PRINCE ST
Practice Address - Street 2:
Practice Address - City:BEAUFORT
Practice Address - State:SC
Practice Address - Zip Code:29902-4948
Practice Address - Country:US
Practice Address - Phone:843-605-1086
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2018-11-14
Last Update Date:2018-11-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
SC308171100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes171100000XOther Service ProvidersAcupuncturist