National Provider Identifier
Nicholas Loan, D.C.
Nicholas Loan, D.C. is listed in the NPPES registry with a primary specialty of Sports Physician Chiropractor in Penn Yan, NY and a listed phone number of (315) 536-8124.
Profile Overview
- NPI
- 1003944810
- Provider Type
- Individual
- Primary Specialty
- Sports Physician Chiropractor
- Enumeration Date
- March 01, 2007
- Last Updated
- July 08, 2007
Practice Location
- 335 Elm St
- Penn Yan, NY 14527-1409
Phone: (315) 536-8124
Specialties
- Sports Physician Chiropractor (111NS0005X)
Full Record
- NPI
- 1003944810
- Entity Type
- Individual
- Last Name
- Loan
- First Name
- Nicholas
- Name Prefix
- Dr.
- Credential
- D.C.
- Mailing Street Address
- 335 Elm St
- Mailing City
- Penn Yan
- Mailing State
- NY
- Mailing ZIP Code
- 14527-1409
- Mailing Country
- US
- Mailing Phone
- (315) 536-8124
- Mailing Fax
- (315) 536-6728
- Practice Street Address
- 335 Elm St
- Practice City
- Penn Yan
- Practice State
- NY
- Practice ZIP Code
- 14527-1409
- Practice Country
- US
- Practice Phone
- (315) 536-8124
- Practice Fax
- (315) 536-6728
- Enumeration Date
- March 01, 2007
- Last Updated
- July 08, 2007
- Sex
- Male
- Sole Proprietor
- Yes
- updated_by_file
- npidata_pfile_20050523-20260308.csv
- Taxonomies
- Sports Physician Chiropractor (111NS0005X)
- Other Identifiers
- 004727 (NY, State License Number)