Dr. Nicholas Divan
Rehabilitation Chiropractor
8045 Big Bend Blvd Ste 107
Saint Louis
, Missouri 63119-2714
Dr. Nicholas Divan
Rehabilitation Chiropractor
8045 Big Bend Blvd Ste 107
Saint Louis
, Missouri 63119-2714
(314) 961-7181
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About
Features
Specialties
- Rehabilitation Chiropractor
Languages spoken
- English
Location
First Address
- Dr. Nicholas Divan
- 8045 Big Bend Blvd Ste 107
- Saint Louis, MO
- Zip : 63119-2714
- Phone : (314) 961-7181
Second Address
- Dr. Nicholas Divan
- 8045 Big Bend Blvd Ste 107
- Saint Louis, MO
- Zip : 63119-2714
- Phone : (314) 961-7181
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| Y | 111NR0400X | Rehabilitation Chiropractor | 2014010441 | MO |
National Provider Identifier
| NPI | 1114343704 |
|---|---|
| Provider Name | Dr. Nicholas Divan |
| First Address | Saint Louis, MO 63119-2714 |
| Second Address | Saint Louis, MO 63119-2714 |
| Gender | M |
| NPI Entity type | Individual |
| Is Sole Proprietor | Yes |
| Is Organization Subpart | N/A |
| Enumeration Date | 06/03/2014 |
| Last Update Date | 17/03/2018 |
NPI Footnotes
What is the National Provider Identifier (NPI)
Provider Location Address
Provider Mailing Address
Entity Type Code
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)
What is a Subpart?
Provider Other Organization Name
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.