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Individual

DR. NICHOLAS BROWN

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
D.C.

Contact information

Practice address
3128 POPLAR ST, TERRE HAUTE, IN 47803-2665
(812) 232-3718
(812) 232-7247
Mailing address
236 VAN BUREN BLVD, TERRE HAUTE, IN 47803-1923
(812) 229-0655

Taxonomy

Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
08002544A
IN

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
150270001
MEDICARE PTAN
IN
05
201030750
IN
Enumeration date
12/29/2010
Last updated
12/31/2021
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