MEDICARE: DR. SIGRID NILSSEN DC

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	111NI0900X	Internist Chiropractor	6134	FL

General Provider Information

NPI Number	:	1326157561
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. SIGRID NILSSEN DC

Provider Business Mailing Address
First Line	:	1674 MERIDIAN AVE
Second Line	:	STE 203
City	:	MIAMI BEACH
State	:	FL
Zip	:	33139-2801
Country	:	US
Telephone Number	:	305-532-7788
Fax Number	:	305-534-6558

Provider Business Practice Location Address
First Line	:	1674 MERIDIAN AVE
Second Line	:	STE 203
City	:	MIAMI BEACH
State	:	FL
Zip	:	33139-2801
Country	:	US
Telephone Number	:	305-532-7788
Fax Number	:	305-534-6558

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	08/30/2006
Last Update Date	:	07/08/2007

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Directions to “ DR. SIGRID NILSSEN DC” Practice Location

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