Nicholas J Andolina, DC
Individual provider Active NPI Chiropractor · Alexandria, VA
NPI 1104149368 · NPPES record last updated Jan 28, 2011
Key facts
- NPI
- 1104149368
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Chiropractor 111N00000X
- License
- 0104556837 (VA)
- Practice address
- 5249 Duke St
Suite 100
Alexandria, VA 22304-2926 - Phone
- (703) 750-1177
- NPI assigned
- Mar 2, 2010
- Sex
- Male
- Sole proprietor
- Yes
Organizations & group practices 2
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 0104556837 | VA | MD | Chiropractor |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Neuform Physiotherapy LLC | Past | Accepting new patients | |
| Davidson Chiropractic | Chiropractor | Past |
Accepting new patients |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Chiropractor | 111N00000X | 0104556837 | VA | Yes |
Addresses
Primary practice location
5249 Duke St
Suite 100
Alexandria, VA 22304-2926
Mailing address
7305 Castleberg CT
Alexandria, VA 22315-4724
Phone (607) 382-3051
Other providers in Alexandria, VA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jan 28, 2011. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.