Individual
DR. THOMAS PATRICK NICOLAI
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.C.
Contact information
Practice address
493 BLACKWELL RD, STE 350, WARRENTON, VA 20186-2628
(540) 347-5900
Mailing address
493 BLACKWELL RD, STE 350, WARRENTON, VA 20186-2628
(540) 347-5900
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
0104556763
VA
111N00000X
Chiropractor
656
ND
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
11157
—
ND
01
—
18614
BCBS ID
ND
Enumeration date
10/13/2006
Last updated
09/26/2016
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