Larry Nickelson is a Chiropractor in Miller, South Dakota. Larry Nickelson practices all healthcare services and medical treatments related to Chiropractor. The NPI Number for Larry Nickelson is 1518936210. The last update date is 2008-01-23.
Larry Nickelson's current location address is 207 E 3rd St, Miller, South Dakota. You can contact this provider via phone number 6058532230 and fax number 6058533111. The mailing address for Larry Nickelson is 207 E 3rd St, Miller, South Dakota. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Larry Nickelson |
|---|---|
| Address | 207 E 3rd St, Miller, South Dakota |
| Phone Number | 6058532230 |
| Fax Number | 6058533111 |
| Sole Proprietor | N |
| Credentials | DC |
NPI Number Detail
| NPI Number | 1518936210 |
|---|---|
| Provider Enumeration Date | 2006-03-15 |
| Last Updated Date | 2008-01-23 |
Provider Mailing Address Detail
| Address | 207 E 3rd St |
|---|---|
| City | Miller |
| State | South Dakota (SD) |
| Post Code | 573621426 |
| Phone Number | 6058532230 |
| Fax Number | 6058533111 |
Provider's Primary Taxonomy Detail
| Speciality | Chiropractor |
|---|---|
| Taxonomy | 111N00000X |
| Licence No | 638 |
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Definition: A provider qualified by a Doctor of Chiropractic (D.C.), licensed by the State and who practices chiropractic medicine -that discipline within the healing arts which deals with the nervous system and its relationship to the spinal column and its inte |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 4999757 | SD | BSSD | |
| 4999850 | SD | BSSD | |
| 7602082 | SD | -- | |
| 512482 | SD | AMPPO | |
| 7602080 | SD | -- | |
| 80147 | SD | BSSD | |
| 7602083 | SD | -- | |
| 7602085 | SD | -- | |
| 4999860 | SD | BSSD | |
| 6716 | SD | BSSD |
Post Comment/ Review Below
What is the unique 10-digit identifier code issued to Larry Nickelson by the Centers for Medicare & Medicaid Services?
The Larry Nickelson has been assigned the NPI (National Provider Identifier) 1518936210 by the CMS (Centers for Medicare & Medicaid Services). This 10-digit code serves as a unique identification number for healthcare providers.
Could you please provide the complete physical location address of Larry Nickelson?
The Larry Nickelson is physically situated at 207 E 3Rd St, in the city of Miller, state of SD, with the postal code 573621426.
What is Larry Nickelson's specialized field of practice, and what is the corresponding taxonomy classification code?
The Larry Nickelson's area of specialization is Chiropractor, and the corresponding taxonomy code that categorizes this field of practice is 111N00000X.
On what date did the Centers for Medicare & Medicaid Services issue the 1518936210 to Larry Nickelson?
The Larry Nickelson received its 1518936210 assignment from the Centers for Medicare & Medicaid Services on 2006-03-15.
As of what date were the details related to Larry Nickelson most recently updated or revised?
The information pertaining to Larry Nickelson, including its address, specialty, and other relevant details, was last updated or revised on 2008-01-23.