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Organization

OUTLOOK CHIROPRACTIC

Active
Other names
Thomas Nicolai, DC
Organization subpart
No

Provider details

NPI number
Authorized official
DR. THOMAS PATRICK NICOLAI DC (OWNER)
(701) 797-2941
Entity
Organization

Contact information

Practice address
605 8TH ST NW, COOPERSTOWN, ND 58425
(701) 797-2941
(701) 797-2942
Mailing address
PO BOX 385, COOPERSTOWN, ND 58425-0385
(701) 797-2941
(701) 797-2942

Taxonomy

Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
656
ND

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
01713001
BCBS GROUP NUMBER
ND
Enumeration date
05/25/2007
Last updated
06/26/2008
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