Individual
DR. NICHOLE BLOCK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
D.C.
Contact information
Practice address
126 S MAIN AVE, RUGBY, ND 58368-1733
(701) 776-5800
Mailing address
720 20TH AVE SW, MINOT, ND 58701-6441
(701) 838-8000
(701) 838-8444
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
992
ND
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
10644
—
ND
01
—
18476
MEDICAID GROUP NUMBER
ND
01
—
N711351
MEDICARE PTAN
ND
Enumeration date
01/15/2015
Last updated
02/19/2016
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