Individual
DR. NICHOLAS M. BALOVICH III
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.C.
Contact information
Practice address
1510 BREEZEPORT WAY, SUITE 100, SUFFOLK, VA 23435-3736
(757) 483-0177
(757) 483-3991
Mailing address
1510 BREEZEPORT WAY, SUITE 100, SUFFOLK, VA 23435-3736
(757) 483-0177
(757) 483-3991
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
0104556306
VA
Other
Enumeration date
12/08/2006
Last updated
03/12/2008
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