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Contact Information

MATTHEWS CHIROPRACTIC CLINIC
4515 OFFICE PARK DRIVE
JACKSON, MS39206
 Phone: 601-366-9005
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Chiropractor

111N00000X 35 Chiropractic
Indicates primary specialty

NPI Profile & details for MATTHEWS CHIROPRACTIC CLINIC · (Female)

NPI Number 1194955484
Status Active
Credentials
Entity Individual
Enumeration date 07/21/2009
Last updated 07/21/2009 - About 17 years ago
Sole proprietor 1 Not specified
Identifiers
  • MS License # 1015
  • MS Medicaid 00125438
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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