Organization
CHIRO ONE WELLNESS CENTER OF NICHOLASVILLE PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
SAM WANG (COO)
(630) 468-1824
Entity
Organization
Contact information
Practice address
624 EDGEWOOD DR, NICHOLASVILLE, KY 40356-2261
(859) 885-5020
(859) 885-5050
Mailing address
3786 SOLUTIONS CTR, #773786, CHICAGO, IL 60677-0001
(630) 320-6400
(630) 320-6489
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
—
—
Other
Enumeration date
10/07/2010
Last updated
11/09/2012
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