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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

NPI # 1194955484
LBN Legal business name MATTHEWS CHIROPRACTIC CLINIC
Authorized official ENDRE MATTHEWS - (OWNER)
Entity Organization
Organization subpart 1 No
Enumeration date 07/21/2009
Last updated 07/21/2009 - About 17 years ago
Identifiers
MS License # 1015
MS Medicaid 00125438
1 Some organization health care providers are made up of components that furnish different types of health care or have separate physical locations where health care is furnished. These components and physical locations are not themselves legal entities, but are part of the organization health care provider (which is a legal entity). A covered organization provider may decide that its subparts (if it has any) should have their own NPI numbers. If a subpart conducts any HIPAA standard transactions on its own (e.g., separately from its parent), it must obtain its own NPI number.

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