Individual
DR. MICHAEL D NICHOLS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DC
Contact information
Practice address
199 N COMMON ST, LYNN, MA 01905-2516
(781) 592-0002
Mailing address
199 N COMMON ST, LYNN, MA 01905-2516
(781) 592-0002
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
2474
MA
111N00000X
Chiropractor
592-0200
NH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1601920
—
MA
01
—
351901
HARVARD PILGRAM
MA
01
—
4418078
CIGNA HEALTHCARE
MA
01
—
NICH351719
ANTHEM BCBS
NH
01
—
Y36873
BCBS
MA
Enumeration date
02/02/2007
Last updated
11/04/2011
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