MEDICARE: DR. AARON GRAVES NICELY D.C.

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	3071	OH

Medicare Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
2	350051122	OTHER	OH	RAILROAD MEDICARE I.D. #

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1902881873
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. AARON GRAVES NICELY D.C.

Provider Business Mailing Address
First Line	:	1110 CASTALIA ST
Second Line	:	SUITE G
City	:	BELLEVUE
State	:	OH
Zip	:	44811-1181
Country	:	US
Telephone Number	:	419-484-9070
Fax Number	:	419-484-9070

Provider Business Practice Location Address
First Line	:	1110 CASTALIA ST
Second Line	:	SUITE G
City	:	BELLEVUE
State	:	OH
Zip	:	44811-1181
Country	:	US
Telephone Number	:	419-484-9070
Fax Number	:	419-484-9070

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

Provider Enumeration Date	:	12/13/2005
Last Update Date	:	03/17/2009

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Directions to “ DR. AARON GRAVES NICELY D.C.” Practice Location

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