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NPI Code Detail

MEDICARE: ERIC NILSEN CHIROPRACTIC CORPORATION

MEDICARE: ERIC NILSEN CHIROPRACTIC CORPORATION
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
1111N00000XChiropractor
2171100000XAcupuncturist

General Provider Information

NPI Number : 1205461712
Entity Type Code : Organization
Provider Name (Legal Business Name) : ERIC NILSEN CHIROPRACTIC CORPORATION
Provider Business Mailing Address
First Line : 516 E CARSON PLAZA CT
Second Line :
City : CARSON
State : CA
Zip : 90746-3214
Country : US
Telephone Number : 310-327-1325
Fax Number : 310-327-7058
Provider Business Practice Location Address
First Line : 516 E CARSON PLAZA CT
Second Line :
City : CARSON
State : CA
Zip : 90746-3214
Country : US
Telephone Number : 310-327-1325
Fax Number : 310-327-7058
Authorized Official
Title or Position : CHIROPRACTOR
Name : ERIC FRIDTHJOV NILSEN
Credential :
Telephone Number : 310-327-1325
Provider Enumeration Date : 03/04/2020
Last Update Date : 09/15/2023

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Directions to “ERIC NILSEN CHIROPRACTIC CORPORATION ” Practice Location

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