DR. JOHN WILLIAM NICKOLOFF (NPI# 1962555748) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1962555748 |
| Entity Type | Individual |
| Full Name | DR. JOHN WILLIAM NICKOLOFF |
| Credential | D. C. |
| Practice Address |
5169 Ridgetop Dr Waterford MI 48327-1347 |
| Practice Telephone | 2486735493 |
| Mailing Telephone | 2486735493 |
| Enumeration Date | 2007-01-18 |
| Last Update Date | 2007-07-08 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 111N00000X | Chiropractor | 2301002060 | MI | Chiropractic Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| MI | BCBS-MI | 950F35027 | 01 |
| Street Address |
5169 RIDGETOP DR |
| City | WATERFORD |
| State | MI |
| Zip Code | 48327-1347 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1700418555 | Dental House - Waterford, Pllc | Clinic/Center | 5979 Highland Road, Waterford Twp, MI 48327 | 2020-02-10 |
| 1063924793 | Carolyn Mirretti | Social Worker | 7110 Round Hill Drive, Apt. A2, Waterford, MI 48327 | 2017-11-03 |
| 1972022358 | Mary Frances Halfpenny | Registered Nurse | 5741 Berkley Dr, Waterford, MI 48327 | 2017-09-17 |
| 1407377443 | Crystal Marie Degrandchamp | Counselor | 1370 N. Oakland Blvd., Suite 105, Waterford, MI 48327 | 2017-06-29 |
| 1366987489 | Graceful Living, Reinventing In-home Senior Care | Home Health | 6926 Highland Road, Suite 2, Waterford, MI 48327 | 2016-12-28 |
| 1134678378 | Jacqueline Bleisch | Home Health | 2440 Jones Rd., Waterford, MI 48327 | 2016-09-29 |
| 1033665385 | Charles Weems | Counselor | Meridian Health Services, 1255 N. Oakland Blvd., Waterford, MI 48327 | 2016-08-28 |
| 1124480777 | Raymond S Kanar | Counselor | 1255 North Oakland Blvd., Waterford, MI 48327 | 2016-03-23 |
| 1750765798 | Shatha Matti | Pharmacist | 7362 Highland Road, Waterford, MI 48327 | 2015-07-18 |
| 1548647233 | Oakland Physicians Medical Center LLC | Clinic/Center | 1035 N. Oakland Blvd., Waterford, MI 48327 | 2015-05-01 |
| Find all providers in zip 48327 | ||||
| Taxonomy Code | 111N00000X |
| Grouping | Chiropractic Providers |
| Classification | Chiropractor |
| 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 interrelationship with other body systems. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1396214326 | Andrew Wideman | Chiropractor | 5433 Dixie Hwy Ste 205, Waterford, MI 48329-1614 | 2018-11-20 |
| 1710412861 | Paul Robinson D.c.,pllc | Chiropractor | 3901 Highland Rd Ofc D-3, Waterford, MI 48328-2165 | 2017-04-26 |
| 1104371970 | Duncan Chiropractic Group of Waterford, Pllc | Chiropractor | 3801 Elizabeth Lake Rd, Waterford, MI 48328-3017 | 2016-08-22 |
| 1003243452 | Edward C Guzak | Chiropractor | 5140 Highland Rd, Waterford, MI 48327-1912 | 2013-10-01 |
| 1124393814 | Synergy Chiropractic Spine & Joint Center | Chiropractor | 1399 Dundee Dr, Waterford, MI 48327-2005 | 2012-03-14 |
| 1952692469 | Waterford Family Chiropractic Pllc | Chiropractor | 4000 W Walton Blvd Ste A, Waterford, MI 48329-4191 | 2011-05-02 |
| 1144481862 | Jennifer Michelle Jordan | Chiropractor | 262 Boston Post Road, Unit #8, Waterford, CT 06385-2053 | 2008-06-25 |
| 1245403757 | Jacqueline C Vaughn Dc PC | Chiropractor | 3093 Sashabaw, Ste B, Waterford, MI 48329-4089 | 2008-04-04 |
| 1851577274 | White Lake Chiropractic D O P C | Chiropractor | 6929 Highland Rd, Waterford, MI 48327-1679 | 2008-01-16 |
| 1386823623 | Sudowski Chiropractic Offices | Chiropractor | 210 Boston Post Rd, Waterford, CT 06385-2819 | 2007-11-02 |
| Find all providers in WATERFORD | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.