MEDICARE: DR. NICHOLAS RULLI 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	0104001176	VA

General Provider Information

NPI Number	:	1942209358
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. NICHOLAS RULLI D.C.

Provider Business Mailing Address
First Line	:	7503 BROOK RD
Second Line	:
City	:	RICHMOND
State	:	VA
Zip	:	23227-1856
Country	:	US
Telephone Number	:	804-261-6685
Fax Number	:	804-515-7771

Provider Business Practice Location Address
First Line	:	7503 BROOK RD
Second Line	:
City	:	RICHMOND
State	:	VA
Zip	:	23227-1856
Country	:	US
Telephone Number	:	804-261-6685
Fax Number	:	804-515-7771

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

Provider Enumeration Date	:	07/18/2005
Last Update Date	:	11/05/2009

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