Provider Demographics
NPI:1144513524
Name:SELIMIS, NICK (DC)
Entity type:Individual
Prefix:DR
First Name:NICK
Middle Name:
Last Name:SELIMIS
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 1:951 INDUSTRIAL RD
Mailing Address - Street 2:B
Mailing Address - City:SAN CARLOS
Mailing Address - State:CA
Mailing Address - Zip Code:94070-4153
Mailing Address - Country:US
Mailing Address - Phone:484-433-0695
Mailing Address - Fax:
Practice Address - Street 1:951 INDUSTRIAL RD
Practice Address - Street 2:B
Practice Address - City:SAN CARLOS
Practice Address - State:CA
Practice Address - Zip Code:94070-4153
Practice Address - Country:US
Practice Address - Phone:650-593-4447
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2011-05-18
Last Update Date:2011-05-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA31945111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor