Individual
NICK GEORGE KOINOGLOU
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.C., FIAMA, DIPL AC
Contact information
Practice address
2565 S UNION AVE, ALLIANCE, OH 44601-5058
(330) 821-4455
(330) 821-4504
Mailing address
2565 S UNION AVE, ALLIANCE, OH 44601-5058
(330) 821-4455
(330) 821-4504
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
1798
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000139080
BCBS
OH
05
—
000000176741
—
OH
05
—
0886297
—
OH
01
—
1066011
WORKER'S COMP PIN
WV
05
—
2364409
—
OH
01
—
34179785200
BWC
OH
05
—
341797852027
—
OH
01
—
341797852T
BCBS OF ILLINOIS
IL
01
—
350050794
RAILROAD MEDICARE
OH
01
—
4643272
AETNA
OH
01
—
721624
BCBS
PA
05
—
733297
—
OH
01
—
IDP1817694
OXFORD HEALTH PLAN ID
OH
Enumeration date
08/02/2006
Last updated
01/29/2024
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