Individual
JACOB MIKOLICZYK
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
834 TYVOLA RD, CHARLOTTE, NC 28217-3598
(980) 301-5983
Mailing address
834 TYVOLA RD, CHARLOTTE, NC 28217-3598
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
5995
NC
Other
Enumeration date
01/24/2026
Last updated
01/24/2026
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