Provider Demographics
NPI:1053859389
Name:NIKOLIN, DEBORAH (DC)
Entity type:Individual
Prefix:DR
First Name:DEBORAH
Middle Name:
Last Name:NIKOLIN
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 1:8989 EASTVIEW DR
Mailing Address - Street 2:
Mailing Address - City:ALLISON PARK
Mailing Address - State:PA
Mailing Address - Zip Code:15101-2701
Mailing Address - Country:US
Mailing Address - Phone:724-372-4134
Mailing Address - Fax:
Practice Address - Street 1:8989 EASTVIEW DR
Practice Address - Street 2:
Practice Address - City:ALLISON PARK
Practice Address - State:PA
Practice Address - Zip Code:15101-2701
Practice Address - Country:US
Practice Address - Phone:724-372-4134
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2017-02-07
Last Update Date:2024-09-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA32849111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor