Nicholson Chiropractic A Professional Corporation | |
1011 Parker Ave., Tracy, CA 95376-3933 | |
(209) 836-0250 | |
(209) 836-5037 |
Full Name | Nicholson Chiropractic A Professional Corporation |
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Type | Facility |
Speciality | Chiropractor |
Location | 1011 Parker Ave., Tracy, California |
Accepts Medicare Assignments | Medicare enrolled and accepts medicare insurance. Providers at this facility may prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1912124553 | NPI | - | NPPES |
ZZZ60806Z | Other | CA | BLUE SHIELD |
Taxonomy | Type | License (State) | Status |
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111N00000X | Chiropractor | (* (Not Available)) | Primary |
Provider Name | Larry Nicholson |
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Provider Type | Practitioner - Chiropractic |
Provider Identifiers | NPI Number: 1548332083 PECOS PAC ID: 5496809089 Enrollment ID: I20090817000438 |
Mailing Address | Practice Location Address |
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Nicholson Chiropractic A Professional Corporation 1011 Parker Ave., Tracy, CA 95376-3933 Ph: (209) 836-0250 | Nicholson Chiropractic A Professional Corporation 1011 Parker Ave., Tracy, CA 95376-3933 Ph: (209) 836-0250 |
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Dr. Christopher Guistolise, D.C. Chiropractor Medicare: Accepting Medicare Assignments Practice Location: 4600 S Tracy Blvd, Suite 116, Tracy, CA 95377 Phone: 209-832-9700 | |
Mr. Donald Philip Ringer, DC Chiropractor Medicare: Not Enrolled in Medicare Practice Location: 1525 N Tracy Blvd, Tracy, CA 95376 Phone: 209-835-2225 Fax: 209-832-8199 | |
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