Organization
MINERVA CHIROPRACTIC CENTER INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. ROBERT KENNETH NICHOLS D.C. (OWNER/DOCTOR PRACTICING)
(330) 868-7539
Entity
Organization
Contact information
Practice address
15245 LINCOLN ST SE, MINERVA, OH 44657-8559
(330) 868-7539
(330) 868-5719
Mailing address
15245 LINCOLN ST SE, MINERVA, OH 44657-8559
(330) 868-7539
(330) 868-5719
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
2054 OH
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0960385
—
OH
Enumeration date
10/30/2009
Last updated
07/26/2013
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