Organization
NICHOLS CHIROPRACTIC, PLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. PAUL DAVID NICHOLS D.C. (OWNER/CHIROPRACTOR)
(319) 987-3080
Entity
Organization
Contact information
Practice address
308 MAIN ST, JANESVILLE, IA 50647-7785
(319) 987-3080
(319) 987-3080
Mailing address
308 MAIN ST, PO BOX 130, JANESVILLE, IA 50647-7785
(319) 987-3080
(319) 987-3080
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
06453
IA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
04192
WELLMARK BLUE CROSS BLUE SHIELD
IA
05
—
2264465
—
IA
Enumeration date
05/12/2008
Last updated
08/05/2008
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