Dr. John William Nickoloff , DC
Chiropractor • Waterford, MI
Notice of NPI Deactivation & Inactive Practice Status
According to official public domain records published by CMS (Centers for Medicare & Medicaid Services) in the National Provider Identifier (NPPES) Registry, Dr. John Nickoloff has officially deactivated this NPI record and ceased active healthcare practice.
Professional Overview & Biography Verified Profile Summary
Dr. John Nickoloff, DC was a registered Chiropractor practicing in Waterford, MI. Throughout an active medical career spanning 12 years, Dr. Nickoloff provided care at the practice location at 5169 RIDGETOP DR until profile deactivation on 2019-09-23.
Practice Location & Contact Primary Location
5169 Ridgetop Dr
Waterford, MI 483271347
Specialty Benchmarks & Practice Insights
Comparative analytics for Chiropractor in Waterford, MI
Practicing in Waterford, MI (3252 Statewide)
In-Person Office Visits Only
Under CMS Medicare Fee Schedule vs Standard Submitted Charges
Medical Specialties & State Licenses
NUCC Taxonomy Code: 111N00000X
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.
Career & Practice History Timeline
Chronological log of verified NPI updates, location relocations, credentials, and registry changes
Record deactivated on September 23, 2019
NPI status registered as active in NPPES database
Registered at 5169 RIDGETOP DR, WATERFORD, MI 483271347 (Tel: 2486735493)
Registered at 5169 RIDGETOP DR, WATERFORD, MI 483271347 (Tel: 2486735493)
Recorded as JOHN NICKOLOFF, D. C.
Chiropractor (License #2301002060 in MI)
First registered as active Individual Practitioner in NPPES Database.
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NPI Administrative Meta
Mailing Address
5169 Ridgetop Dr
Waterford, MI 483271347
Phone: 2486735493
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