Provider Demographics
NPI:1174513493
Name:CARAS, NICHOLAS DAN (DC)
Entity type:Individual
Prefix:DR
First Name:NICHOLAS
Middle Name:DAN
Last Name:CARAS
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 1:5123 MIDDLE RD
Mailing Address - Street 2:SUITE D
Mailing Address - City:BETTENDORF
Mailing Address - State:IA
Mailing Address - Zip Code:52722-6059
Mailing Address - Country:US
Mailing Address - Phone:563-332-6036
Mailing Address - Fax:563-332-6596
Practice Address - Street 1:5123 MIDDLE RD
Practice Address - Street 2:SUITE D
Practice Address - City:BETTENDORF
Practice Address - State:IA
Practice Address - Zip Code:52722-6059
Practice Address - Country:US
Practice Address - Phone:563-332-6036
Practice Address - Fax:563-332-6596
Is Sole Proprietor?:Not Answered
Enumeration Date:2005-10-27
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IA06745111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor
Provider Identifiers
StateIdentifier IDID TypeIssuer
IA0458638Medicaid
IA0458638Medicaid