Individual
DR. NICOLO MONTECALVO
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DC
Contact information
Practice address
10620 HIGHWAY 12, OROFINO, ID 83544-9372
(208) 476-3158
Mailing address
10620 HIGHWAY 12, OROFINO, ID 83544-9372
(208) 476-3158
(502) 222-9749
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
CHIA-1906
ID
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
85001709
—
KY
Enumeration date
10/14/2006
Last updated
01/16/2020
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