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NPI Code Detail

MEDICARE: JOSEPH NICOLA P C

MEDICARE: JOSEPH NICOLA P 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
1111N00000XChiropractorB-916NV

General Provider Information

NPI Number : 1649407339
Entity Type Code : Organization
Provider Name (Legal Business Name) : JOSEPH NICOLA P C
Provider Business Mailing Address
First Line : 1049 S RAINBOW BLVD
Second Line :
City : LAS VEGAS
State : NV
Zip : 89145-6232
Country : US
Telephone Number : 702-252-7246
Fax Number : 702-251-9650
Provider Business Practice Location Address
First Line : 1049 S RAINBOW BLVD
Second Line :
City : LAS VEGAS
State : NV
Zip : 89145-6232
Country : US
Telephone Number : 702-252-7246
Fax Number : 702-251-9650
Authorized Official
Title or Position : OWNER
Name : JOSEPH R NICOLA
Credential : D.C.
Telephone Number : 702-252-7246
Provider Enumeration Date : 06/19/2009
Last Update Date : 06/19/2009

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Directions to “JOSEPH NICOLA P C ” Practice Location

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