National Provider Identifier Database

NICOLE M FODEL, D.C., LAC – NPI #1700194412
Chiropractor

A provider qualified by a Doctor of Chiropractic (D.C.), licensed by the State and who practices chiropractic medicine -that discipline within the healing arts which deals with the nervous system and its relationship to the spinal column and its interrelationship with other body systems.


Contact Information

NICOLE M FODEL, D.C., LAC
309 S SHARON AMITY RD
SUITE 302
CHARLOTTE, NC28211-2978
Phone: 704-326-1088
Fax:
Website:
Specialty Taxonomy Code
* Chiropractor 111N00000X
Acupuncturist 171100000X

* Indicates primary specialty

NPI Profile & details for NICOLE M FODEL

NPI Number 1700194412
Credentials D.C., LAC
Entity Individual
Enumeration date 09/15/2010
Last updated 02/06/2011 - About 15 years ago
Sole proprietor1 No
Identifiers
  • NC License #: 4119
  • NC License #: 590
Hospital affiliation n/a

1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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