Individual
MR. PAUL NIMCHICK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
71 CRAIG DR APT A8, WEST SPRINGFIELD, MA 01089-1432
(413) 737-0130
Mailing address
71 CRAIG DR APT A8, WEST SPRINGFIELD, MA 01089-1432
(413) 737-0130
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
AH 1208 AT
MA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
AH 1208 AT
ATHLETIC TRAINER
MA
Enumeration date
02/26/2007
Last updated
07/08/2007
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