Darrel Thomas Mathis

LBN: Columbia County Chiropractic Center, Llc
Darrel Thomas Mathis is an health care organization with primary practice located at 279 Sw Main Blvd , Lake City FL 32025-7050. The organization recently has only one registered license in Chiropractic Providers / Orthopedic, which is considered as the primary health care specialty. Columbia County Chiropractic Center, Llc can be contacted via phone (386) 752-4313, or through Mathis, Darrel Thomas via phone (386) 752-4313.

Contact Information

Primary practice address
279 Sw Main Blvd Lake City FL 32025-7050
Phone: (386) 752-4313
Fax: (386) 752-8356
Website:
Map and Directions
Authorized official contact:
Name: Mathis, Darrel Thomas Doctor of Chiropractic (DC)
Phone: (386) 752-4313

Health care specialties

SpecialtyCodeLicense #State
Chiropractic Providers / Orthopedic 111NX0800X CH5141 Florida

Profile Details

NPI number 1467652578
LBN Legal business name Columbia County Chiropractic Center, Llc
DBA Doing business as Darrel Thomas Mathis
Authorized official Mathis, Darrel Thomas Doctor of Chiropractic (DC)
Entity Organization
Organization subpart 1 No
Enumeration date Jul 18th, 2007
Last updated Mar 24th, 2017 - about 9 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1467652578 NPPES
Florida MEDICAID 050782200
Florida Other CL2214

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