Healthcare Provider Details

I. General information

NPI: 1437154986
Provider Name (Legal Business Name): DAVID H PIERSON D.C.
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 06/20/2005
Last Update Date: 12/20/2011
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

4066 SHELBURNE RD #8
SHELBURNE VT
05482-6905
US

IV. Provider business mailing address

4066 SHELBURNE RD SUITE 8
SHELBURNE VT
05482-6905
US

V. Phone/Fax

Practice location:
  • Phone: 802-985-5833
  • Fax: 802-985-2385
Mailing address:
  • Phone: 802-985-5833
  • Fax: 802-985-2385

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code111N00000X
TaxonomyChiropractor
License Number006-0001090
License Number StateVT
# 2
Primary TaxonomyN
Taxonomy Code111NS0005X
TaxonomySports Physician Chiropractor
License Number1090
License Number StateVT

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: