Daniel Nicolaus, DC | |
7317 Dazzle Point St, North Las Vegas, NV 89084-4746 | |
(724) 986-3935 | |
Not Available |
Full Name | Daniel Nicolaus |
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Gender | Male |
Speciality | Chiropractor |
Location | 7317 Dazzle Point St, North Las Vegas, Nevada |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1144955071 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
111N00000X | Chiropractor | B02013 (Nevada) | Primary |
Provider Name | Hometown Spine & Sport, Llc |
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Provider Type | Part B Supplier - Clinic/group Practice |
Provider Identifiers | NPI Number: 1972959773 PECOS PAC ID: 3870881816 Enrollment ID: O20161007000115 |
Mailing Address | Practice Location Address |
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Daniel Nicolaus, DC 7317 Dazzle Point St, North Las Vegas, NV 89084-4746 Ph: (724) 986-3935 | Daniel Nicolaus, DC 7317 Dazzle Point St, North Las Vegas, NV 89084-4746 Ph: (724) 986-3935 |
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