Provider Demographics
NPI:1598277410
Name:TOUMAZOS, NICHOLAS ALBERT II (DC)
Entity Type:Individual
Prefix:DR
First Name:NICHOLAS
Middle Name:ALBERT
Last Name:TOUMAZOS
Suffix:II
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:PO BOX 113
Mailing Address - Street 2:
Mailing Address - City:AURORA
Mailing Address - State:OH
Mailing Address - Zip Code:44202-0113
Mailing Address - Country:US
Mailing Address - Phone:330-954-0243
Mailing Address - Fax:
Practice Address - Street 1:344 AURORA COMMONS CIR
Practice Address - Street 2:
Practice Address - City:AURORA
Practice Address - State:OH
Practice Address - Zip Code:44202-8828
Practice Address - Country:US
Practice Address - Phone:330-954-0243
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2017-11-01
Last Update Date:2017-11-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OHDC-04769111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor