Provider Demographics
NPI:1881800225
Name:DIGEROLAMO, NICHOLAS FRANK JR (DC)
Entity type:Individual
Prefix:
First Name:NICHOLAS
Middle Name:FRANK
Last Name:DIGEROLAMO
Suffix:JR
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 1:401 VETERANS BLVD
Mailing Address - Street 2:STE 101
Mailing Address - City:METAIRIE
Mailing Address - State:LA
Mailing Address - Zip Code:70005
Mailing Address - Country:US
Mailing Address - Phone:504-835-8441
Mailing Address - Fax:504-835-8443
Practice Address - Street 1:401 VETERANS BLVD
Practice Address - Street 2:STE 101
Practice Address - City:METAIRIE
Practice Address - State:LA
Practice Address - Zip Code:70005
Practice Address - Country:US
Practice Address - Phone:504-835-8441
Practice Address - Fax:504-835-8443
Is Sole Proprietor?:No
Enumeration Date:2007-05-15
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
LA1146111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor