| Dr Robert Kenneth Nichols, DC | |
|
4700 Richmond Rd, Ste 100, Cleveland, OH 44128-5985 | |
| (216) 378-9390 | |
| Not Available |
| Full Name | Dr Robert Kenneth Nichols |
|---|---|
| Gender | Male |
| Speciality | Chiropractor |
| Location | 4700 Richmond Rd, Cleveland, Ohio |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1962624130 | NPI | - | NPPES |
| 0960385 | Medicaid | OH |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 111N00000X | Chiropractor | 2054 (Ohio) | Primary |
| Provider Name | Advanced Orthopedics And Physical Therapy, Inc. |
|---|---|
| Provider Type | Part B Supplier - Clinic/group Practice |
| Provider Identifiers | NPI Number: 1801185962 PECOS PAC ID: 6204096050 Enrollment ID: O20120402000249 |
| Mailing Address | Practice Location Address |
|---|---|
| Dr Robert Kenneth Nichols, DC 4700 Richmond Rd, Ste 100, Cleveland, OH 44128-5985 Ph: (216) 378-9390 | Dr Robert Kenneth Nichols, DC 4700 Richmond Rd, Ste 100, Cleveland, OH 44128-5985 Ph: (216) 378-9390 |
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