Individual
DR. RYAN NICHOLS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DC
Contact information
Practice address
111 N MAIN ST STE 100, JANESVILLE, WI 53545-3072
(608) 754-8977
Mailing address
5561 DANIEL DR, SOUTH BELOIT, IL 61080-2370
(815) 494-9980
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
5666-12
WI
Other
Enumeration date
06/29/2021
Last updated
06/29/2021
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