Individual
DR. NICHOLAS SPANO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DC
Contact information
Practice address
45 SULLIVAN ST, CANTON, PA 17724-1729
(570) 673-3886
Mailing address
94 E UNION ST, CANTON, PA 17724-1211
(570) 673-3886
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
DC002717L
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
001475170003
—
PA
01
—
120976
BLUE SHIELD
—
Enumeration date
12/13/2005
Last updated
07/31/2008
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