Individual
DR. NICHOLAS JOHN DEROCHER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.C.
Contact information
Practice address
70 E HIGHWAY 6, WAUKEE, IA 50263-5011
(515) 978-8889
(515) 978-0009
Mailing address
70 E HIGHWAY 6, WAUKEE, IA 50263-5011
(515) 978-8889
(515) 978-0009
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
06756
IA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0462150
—
IA
Enumeration date
09/28/2006
Last updated
07/08/2007
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