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Individual

DR. JAMES PATRICK NILL

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
DC

Contact information

Practice address
4656 W JEFFERSON BLVD, 240, FORT WAYNE, IN 46804-6857
(260) 459-2205
(260) 459-2209
Mailing address
4656 W JEFFERSON BLVD, 240, FORT WAYNE, IN 46804-6857
(260) 459-2205
(260) 459-2209

Taxonomy

Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
08002139A
IN

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
000000322869
ANTHEM BCBS
IN
01
7694554
AETNA
IN
Enumeration date
05/04/2006
Last updated
02/01/2008
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