Individual
NICOLE ELISE BREIVOGEL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DC
Contact information
Practice address
681 FALMOUTH RD STE B21, MASHPEE, MA 02649-6312
(508) 644-1976
Mailing address
681 FALMOUTH RD STE B21, MASHPEE, MA 02649-6312
(508) 644-1976
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
012614
NY
111N00000X
Chiropractor
Primary
3504
MA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1417345430
NPI
—
Enumeration date
12/29/2014
Last updated
12/08/2020
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