Provider Demographics
NPI:1114230380
Name:MARINI, NICHOLAS STEPHEN (BS, DC)
Entity Type:Individual
Prefix:DR
First Name:NICHOLAS
Middle Name:STEPHEN
Last Name:MARINI
Suffix:
Gender:M
Credentials:BS, DC
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Mailing Address - Street 1:144 E DEKALB PIKE
Mailing Address - Street 2:SUITE 202
Mailing Address - City:KING OF PRUSSIA
Mailing Address - State:PA
Mailing Address - Zip Code:19406-2150
Mailing Address - Country:US
Mailing Address - Phone:610-337-3555
Mailing Address - Fax:610-337-8235
Practice Address - Street 1:144 E DEKALB PIKE
Practice Address - Street 2:SUITE 202
Practice Address - City:KING OF PRUSSIA
Practice Address - State:PA
Practice Address - Zip Code:19406-2150
Practice Address - Country:US
Practice Address - Phone:610-337-3555
Practice Address - Fax:610-337-8235
Is Sole Proprietor?:No
Enumeration Date:2010-07-16
Last Update Date:2010-07-16
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
PADC010301111N00000X
PAAJ010100111NR0400X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor
No111NR0400XChiropractic ProvidersChiropractorRehabilitation