MEDICARE: NICHOLAS VOORHEES

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	2025000504	MO

General Provider Information

NPI Number	:	1144195900
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	NICHOLAS VOORHEES

Provider Business Mailing Address
First Line	:	1331 PARKVIEW ESTATES DR
Second Line	:
City	:	ELLISVILLE
State	:	MO
Zip	:	63021-4645
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	17197 NEW COLLEGE AVE
Second Line	:
City	:	WILDWOOD
State	:	MO
Zip	:	63040-1100
Country	:	US
Telephone Number	:	636-273-4800
Fax Number	:

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

Provider Enumeration Date	:	10/09/2025
Last Update Date	:	10/09/2025

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Directions to “ NICHOLAS VOORHEES ” Practice Location

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