# NICK GEORGE KOINOGLOU

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- **Entity:** Individual
- **Status:** Active
- **Sole proprietor:** No

## Provider details

- **NPI number:** 1720095839
- **Gender:** Man
- **Credential:** D.C., FIAMA, DIPL AC

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 111N00000X | Chiropractor | 1798 | OH | Yes |

## Other

- **Enumeration date:** 08/02/2006
- **Last updated:** 01/29/2024

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 01 | — | 000000139080 | BCBS | OH |
| 05 | — | 000000176741 | — | OH |
| 05 | — | 0886297 | — | OH |
| 01 | — | 1066011 | WORKER'S COMP PIN | WV |
| 05 | — | 2364409 | — | OH |
| 01 | — | 34179785200 | BWC | OH |
| 05 | — | 341797852027 | — | OH |
| 01 | — | 341797852T | BCBS OF ILLINOIS | IL |
| 01 | — | 350050794 | RAILROAD MEDICARE | OH |
| 01 | — | 4643272 | AETNA | OH |
| 01 | — | 721624 | BC OF WESTERN PA | PA |
| 05 | — | 733297 | — | OH |
| 01 | — | IDP1817694 | OXFORD HEALTH PLAN ID | OH |