Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 111N00000X | Chiropractor | DC20748 | CA |
Y | 111N00000X | Chiropractor | DC207480 | CA |
NPI | 1013035997 |
---|---|
Provider Name | Mr. Michael C Pierce |
First Address | Santa Clara, CA 95050-5672 |
Second Address | Santa Clara, CA 95050-5672 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 27/03/2007 |
Last Update Date | 23/03/2017 |