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Individual
DR. STEPHEN S NICKSE
Active
Individual
DR. STEPHEN S NICKSE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DC
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
CH #0007165
FL
111N00000X
Chiropractor
Primary
CH0007165
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
381927200
—
FL
01
—
55540
BCBS ID#
FL
01
—
CH #0007165
FL LICENSE #
FL
01
—
HCC 2141
FL CLINIC LICENSE #
FL
Enumeration date
08/30/2005
Last updated
11/01/2010
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