Provider Demographics
NPI:1538255674
Name:NICHOLS, SCOTT F (DC)
Entity type:Individual
Prefix:DR
First Name:SCOTT
Middle Name:F
Last Name:NICHOLS
Suffix:
Gender:M
Credentials:DC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2407 N MAIN ST
Mailing Address - Street 2:
Mailing Address - City:WARSAW
Mailing Address - State:NY
Mailing Address - Zip Code:14569-9374
Mailing Address - Country:US
Mailing Address - Phone:585-786-0760
Mailing Address - Fax:585-786-0762
Practice Address - Street 1:2407 N MAIN ST
Practice Address - Street 2:
Practice Address - City:WARSAW
Practice Address - State:NY
Practice Address - Zip Code:14569-9374
Practice Address - Country:US
Practice Address - Phone:585-786-0760
Practice Address - Fax:585-786-0762
Is Sole Proprietor?:Yes
Enumeration Date:2006-10-05
Last Update Date:2025-06-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NYX007928111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor