Individual
DR. NIKOLAS RAMONE CHILLIES
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.C.
Contact information
Practice address
6253 GOODMAN RD, SUITE A & B, OLIVE BRANCH, MS 38654-9391
(662) 890-0012
(662) 890-0522
Mailing address
6253 GOODMAN RD, SUITE A & B, OLIVE BRANCH, MS 38654-9391
(662) 890-0012
(662) 890-0522
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
1092
MS
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0111474
CIGNA PROVIDER ID
MS
01
—
4131570
BCBS TN PROVIDER ID
TN
01
—
5706402
FIRST HEALTH PROVIDER ID
MS
01
—
701292
UNITED HEALTHCARE
MS
01
—
7696844
AETNA PROVIDER ID
MS
Enumeration date
06/12/2006
Last updated
07/09/2007
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