# MINERVA CHIROPRACTIC CENTER INC.

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1477889152
- **Authorized official:** DR. ROBERT KENNETH NICHOLS D.C. (OWNER/DOCTOR PRACTICING)
- **Authorized official phone:** (330) 868-7539

## Contact information

- **Practice address:** 15245 LINCOLN ST SE, MINERVA, OH 44657-8559
- **Practice address phone:** (330) 868-7539
- **Practice address fax:** (330) 868-5719
- **Mailing address:** 15245 LINCOLN ST SE, MINERVA, OH 44657-8559
- **Mailing address phone:** (330) 868-7539
- **Mailing address fax:** (330) 868-5719

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 111N00000X | Chiropractor | 2054 OH | OH | Yes |

## Other

- **Enumeration date:** 10/30/2009
- **Last updated:** 07/26/2013

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 05 | — | 0960385 | — | OH |