Individual
GERALD A NICHOLS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.C.
Contact information
Practice address
140 N PINE ST, EVART, MI 49631-5120
(231) 734-5684
(231) 734-5684
Mailing address
140 N PINE ST, EVART, MI 49631-5120
(231) 734-5684
(231) 734-5684
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
2301004457
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
350011700
RR MEDICARE
MI
01
—
950F750000
BCBS
MI
Enumeration date
01/10/2007
Last updated
08/06/2008
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