Dr. Nicholas Loan
Chiropractic Sports Physician
335 Elm St
Penn Yan
, New York 14527-1409
Dr. Nicholas Loan
Chiropractic Sports Physician
335 Elm St
Penn Yan
, New York 14527-1409
(315) 536-6728
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About
Features
Specialties
- Chiropractic Sports Physician
Languages spoken
- English
Location
First Address
- Dr. Nicholas Loan
- 335 Elm St
- Penn Yan, NY
- Zip : 14527-1409
- Fax : (315) 536-6728
- Phone : (315) 536-8124
Second Address
- Dr. Nicholas Loan
- 335 Elm St
- Penn Yan, NY
- Zip : 14527-1409
- Fax : (315) 536-6728
- Phone : (315) 536-8124
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| Y | 111NS0005X | Chiropractic Sports Physician | 004727 | NY |
National Provider Identifier
| NPI | 1003944810 |
|---|---|
| Provider Name | Dr. Nicholas Loan |
| First Address | Penn Yan, NY 14527-1409 |
| Second Address | Penn Yan, NY 14527-1409 |
| Gender | M |
| NPI Entity type | Individual |
| Is Sole Proprietor | Yes |
| Is Organization Subpart | N/A |
| Enumeration Date | 01/03/2007 |
| Last Update Date | 08/07/2007 |
Additional Identifiers
| IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
|---|---|---|
| 004727 | STATE LICENSE NUMBER (01) | NY |
| T86345 | (02) | NY |
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.