Provider Demographics
NPI:1497906408
Name:FARIA, NICHIA M (DC, MSACN)
Entity Type:Individual
Prefix:DR
First Name:NICHIA
Middle Name:M
Last Name:FARIA
Suffix:
Gender:F
Credentials:DC, MSACN
Other - Prefix:DR
Other - First Name:NICHIA
Other - Middle Name:M
Other - Last Name:FARIA
Other - Suffix:
Other - Last Name Type:Professional Name
Other - Credentials:DC, MSACN
Mailing Address - Street 1:PO BOX 1634
Mailing Address - Street 2:
Mailing Address - City:ROCHESTER
Mailing Address - State:NH
Mailing Address - Zip Code:03866-1634
Mailing Address - Country:US
Mailing Address - Phone:603-948-2121
Mailing Address - Fax:603-948-2162
Practice Address - Street 1:169A ROCHESTER HILL RD
Practice Address - Street 2:
Practice Address - City:ROCHESTER
Practice Address - State:NH
Practice Address - Zip Code:03867-1728
Practice Address - Country:US
Practice Address - Phone:603-948-2121
Practice Address - Fax:603-948-2162
Is Sole Proprietor?:Yes
Enumeration Date:2008-10-08
Last Update Date:2011-11-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NH846-0809111NN1001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111NN1001XChiropractic ProvidersChiropractorNutrition