Provider Demographics
NPI:1144050667
Name:BOROVSKY, NICHOLAS ALAN (DC)
Entity type:Individual
Prefix:DR
First Name:NICHOLAS
Middle Name:ALAN
Last Name:BOROVSKY
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 1:1740 E SHEPHERD AVE APT 254
Mailing Address - Street 2:
Mailing Address - City:FRESNO
Mailing Address - State:CA
Mailing Address - Zip Code:93720-5614
Mailing Address - Country:US
Mailing Address - Phone:608-338-6405
Mailing Address - Fax:
Practice Address - Street 1:7191 N MILLBROOK AVE STE 116
Practice Address - Street 2:
Practice Address - City:FRESNO
Practice Address - State:CA
Practice Address - Zip Code:93720-3365
Practice Address - Country:US
Practice Address - Phone:559-432-2225
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2024-08-07
Last Update Date:2024-08-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA36013111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor