MEDICARE: DR. NICHOLAS JOSEPH DEWALD 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	111N00000X	Chiropractor	08003397A	IN

General Provider Information

NPI Number	:	1518734482
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. NICHOLAS JOSEPH DEWALD DC

Provider Business Mailing Address
First Line	:	12894 GANNET CT
Second Line	:
City	:	FORT WAYNE
State	:	IN
Zip	:	46845-1285
Country	:	US
Telephone Number	:	260-442-6025
Fax Number	:

Provider Business Practice Location Address
First Line	:	9614 LIMA RD STE 104
Second Line	:
City	:	FORT WAYNE
State	:	IN
Zip	:	46818-9279
Country	:	US
Telephone Number	:	260-442-6025
Fax Number	:

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

Provider Enumeration Date	:	12/11/2023
Last Update Date	:	12/11/2023

Similar Medicare Providers

1881557601 — PRIME CARE BEHAVIORAL HEALTH AND WELLNESS, LLC
Practice Location Address:

11604 CARROLL COVE
FORT WAYNE, IN
46818

Practice Phone: 713-962-0447
Practice Fax: 888-908-3641

1184622367 — TODD ROBERT PAGE MD
Practice Location Address:

5501 US HIGHWAY 30 W
FORT WAYNE, IN
46818-8998

Practice Phone: 260-270-6181
Practice Fax: 260-469-1022

1922007970 — MEDICAL MOBILITY INC
Practice Location Address:

10020 LIMA RD , SUITE D
FORT WAYNE, IN
46818-9144

Practice Phone: 260-490-8485
Practice Fax: 260-490-9874

1447250188 — DR. RICHARD B COLLINS DO
Practice Location Address:

5001 US HIGHWAY 30 W STE D
FORT WAYNE, IN
46818-9701

Practice Phone: 260-432-1568
Practice Fax: 260-432-4969

1841292612 — JOSEPH D FORTIN D.O.
Practice Location Address:

9502 LIMA ROAD , STE 103
FORT WAYNE, IN
46818-9270

Practice Phone: 260-459-7313
Practice Fax: 260-436-0628

1801878616 — BENJAMIN Y CHEN MD
Practice Location Address:

5001 US HIGHWAY 30 W STE D
FORT WAYNE, IN
46818-9701

Practice Phone: 260-432-1568
Practice Fax: 260-432-4969

Directions to “ DR. NICHOLAS JOSEPH DEWALD DC” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2025 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.