Individual
DR. NICHOLAS HEASLEY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DC
Contact information
Practice address
631 ROOSEVELT HWY, WAYMART, PA 18472-6117
(570) 488-9800
Mailing address
406 SPRUCE ST APT 2, SCRANTON, PA 18503-1801
(814) 657-5916
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
DC011502
PA
Other
Enumeration date
09/04/2019
Last updated
09/04/2019
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