DR. Glenn Nicholas JR., D.C.

NPI #1831219047 in Lewiston, Idaho

Provider Information

NPI Number: 1831219047
Entity Type: Individual
Name: DR. Glenn Nicholas JR., D.C.
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Chiropractor
Credential: D.C.
Enumeration Date: Mar 30, 2007
Last Updated: Jul 8, 2007

Practice Location

Address: 315 SKYLINE DR
City: Lewiston
State: Idaho
ZIP Code: 83501-4220
Phone: (208) 743-4556

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Chiropractor	111N00000X	Primary

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