MEDICARE: PIERCE CHIROPRACTIC & SPORTS INJURY CENTER

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	111N00000X	Chiropractor	DC15476	CA

General Provider Information

NPI Number	:	1518996651
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	PIERCE CHIROPRACTIC & SPORTS INJURY CENTER

Provider Business Mailing Address
First Line	:	1415 E MAIN ST
Second Line	:
City	:	SANTA MARIA
State	:	CA
Zip	:	93454-4801
Country	:	US
Telephone Number	:	805-922-1721
Fax Number	:

Provider Business Practice Location Address
First Line	:	1415 E MAIN ST
Second Line	:
City	:	SANTA MARIA
State	:	CA
Zip	:	93454-4801
Country	:	US
Telephone Number	:	805-922-1721
Fax Number	:

Authorized Official
Title or Position	:	OFFICE MANAGER
Name	:	MRS. BECKY PIERCE
Credential	:
Telephone Number	:	805-922-1721

Provider Enumeration Date	:	07/01/2006
Last Update Date	:	08/22/2020

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