Organization
NYGREN FAMILY CHIROPRACTIC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. NICHOLE L NYGREN DC (DOCTOR)
(419) 238-4387
Entity
Organization
Contact information
Practice address
118 1/2 N WALNUT ST, VAN WERT, OH 45891-1719
(419) 238-4387
(419) 238-4387
Mailing address
PO BOX 27, VAN WERT, OH 45891-0027
(419) 238-4387
(419) 238-4387
Taxonomy
Speciality
Code
Description
License number
State
111NN1001X
Nutrition Chiropractor
Primary
2800
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000294842
ANTHEM
OH
Enumeration date
10/22/2007
Last updated
10/22/2007
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