Provider Demographics
NPI:1811071541
Name:CLINE, NICOLE R (DC)
Entity type:Individual
Prefix:DR
First Name:NICOLE
Middle Name:R
Last Name:CLINE
Suffix:
Gender:F
Credentials:DC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:8951 HIGHWAY 1
Mailing Address - Street 2:
Mailing Address - City:OAKES
Mailing Address - State:ND
Mailing Address - Zip Code:58474-9112
Mailing Address - Country:US
Mailing Address - Phone:701-210-0463
Mailing Address - Fax:
Practice Address - Street 1:9 N 5TH ST
Practice Address - Street 2:
Practice Address - City:OAKES
Practice Address - State:ND
Practice Address - Zip Code:58474-1208
Practice Address - Country:US
Practice Address - Phone:701-742-3386
Practice Address - Fax:701-742-3386
Is Sole Proprietor?:Yes
Enumeration Date:2006-10-25
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
ND781111NN1001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111NN1001XChiropractic ProvidersChiropractorNutrition