Individual
DR. NICHOLAS JORDAN PANNELLA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DC
Contact information
Practice address
4695 ARDLEY DR, COLORADO SPRINGS, CO 80922-2140
(719) 358-9460
Mailing address
4695 ARDLEY DR, COLORADO SPRINGS, CO 80922-2140
(719) 358-9460
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
CHR.0008166
CO
111N00000X
Chiropractor
EL.2787092
CO
Other
Enumeration date
01/22/2020
Last updated
08/28/2021
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