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Individual
NICHOLAS SHIREL
Active
Individual
NICHOLAS SHIREL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DPT
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
24017
MD
225100000X
Physical Therapist
J1-0002725
DE
225100000X
Physical Therapist
Primary
PT021280
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
P01027883
MEDICARE RAILROAD
DE
Enumeration date
07/24/2011
Last updated
12/13/2019
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