Individual
NICHOLAS ANTHONY GRANDE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.C.
Contact information
Practice address
2411 CROFTON LN STE 14A, SUITE 14A, CROFTON, MD 21114-1336
(410) 451-9870
(410) 451-9872
Mailing address
2411 CROFTON LN STE 7B, SUITE 7B, CROFTON, MD 21114-1323
(410) 451-9870
(410) 451-9872
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
S01909 PT
MD
111NI0013X
Independent Medical Examiner Chiropractor
S01909-PT
MD
111NN0400X
Neurology Chiropractor
S01909-PT
MD
111NR0400X
Rehabilitation Chiropractor
Primary
S01909-PT
MD
111NX0100X
Occupational Health Chiropractor
S01909-PT
MD
Other
Enumeration date
05/19/2006
Last updated
04/23/2021
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