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NPI Code Detail

MEDICARE: NICHOLAS DIMICHELE DC

MEDICARE: NICHOLAS DIMICHELE 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
1111N00000XChiropractorSO3771MD

General Provider Information

NPI Number : 1710303532
Entity Type Code : Individual
Provider Name (Legal Business Name) : NICHOLAS DIMICHELE DC
Provider Business Mailing Address
First Line : 15851 CAMPFIRE PL
Second Line :
City : HUGHESVILLE
State : MD
Zip : 20637-2706
Country : US
Telephone Number : 301-609-2463
Fax Number : 240-837-9758
Provider Business Practice Location Address
First Line : 9809 RHODE ISLAND AVE
Second Line :
City : COLLEGE PARK
State : MD
Zip : 20740-1423
Country : US
Telephone Number : 301-220-1930
Fax Number : 301-220-1906
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 03/17/2014
Last Update Date : 09/06/2019

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Directions to “ NICHOLAS DIMICHELE DC” Practice Location

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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.

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