Individual
DR. MICHAEL SCOTT NIBLO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DC
Contact information
Practice address
425 W 20TH ST, STE.6, NORFOLK, VA 23517-2128
(757) 622-8777
(757) 623-2079
Mailing address
425 W 20TH ST, STE. 6, NORFOLK, VA 23517-2128
(757) 622-8777
(757) 623-2079
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
0104001408
VA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00300675
—
VA
Enumeration date
05/23/2005
Last updated
02/16/2012
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