Provider Demographics
NPI:1871897512
Name:ONGARO, NICHOLAS G (DC)
Entity type:Individual
Prefix:DR
First Name:NICHOLAS
Middle Name:G
Last Name:ONGARO
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 1:4104 9TH AVE W
Mailing Address - Street 2:
Mailing Address - City:HIBBING
Mailing Address - State:MN
Mailing Address - Zip Code:55746-3020
Mailing Address - Country:US
Mailing Address - Phone:218-263-8330
Mailing Address - Fax:218-263-8565
Practice Address - Street 1:4104 9TH AVE W
Practice Address - Street 2:
Practice Address - City:HIBBING
Practice Address - State:MN
Practice Address - Zip Code:55746
Practice Address - Country:US
Practice Address - Phone:218-263-8330
Practice Address - Fax:218-263-8565
Is Sole Proprietor?:No
Enumeration Date:2011-01-10
Last Update Date:2019-05-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MN5467111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor