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Individual
DR. NICOLE LYNN BALL
Active
Individual
DR. NICOLE LYNN BALL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DC
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
007067
IA
111N00000X
Chiropractor
1504
NE
111N00000X
Chiropractor
2006013086
MO
111N00000X
Chiropractor
6011
CO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1861471468
BCBS
IA
05
—
1871670042
—
IA
Enumeration date
11/01/2006
Last updated
04/08/2021
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