Provider Demographics
NPI:1881743094
Name:SIKORA, XAVIER A (DC)
Entity type:Individual
Prefix:DR
First Name:XAVIER
Middle Name:A
Last Name:SIKORA
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 1:4811 TROUSDALE DRIVE
Mailing Address - Street 2:SUITE D
Mailing Address - City:NASHVILLE
Mailing Address - State:TN
Mailing Address - Zip Code:37220
Mailing Address - Country:US
Mailing Address - Phone:615-361-0484
Mailing Address - Fax:
Practice Address - Street 1:4811 TROUSDALE DRIVE
Practice Address - Street 2:SUITE D
Practice Address - City:NASHVILLE
Practice Address - State:TN
Practice Address - Zip Code:37220
Practice Address - Country:US
Practice Address - Phone:615-361-0484
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2007-01-09
Last Update Date:2008-06-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TN1748111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor
Provider Identifiers
StateIdentifier IDID TypeIssuer
TNU80066Medicare UPIN