Matthews Chiropractic Clinic

LBN: Matthews Chiropractic Clinic
Matthews Chiropractic Clinic is an health care organization with primary practice located at 4515 Office Park Drive , Jackson MS 39206. The organization recently has only one registered license in Chiropractic Providers / Chiropractor, which is considered as the primary health care specialty. Matthews Chiropractic Clinic can be contacted via phone (601) 366-9005, or through Matthews, Endre Dejuan via phone (601) 366-9005.

Contact Information

Primary practice address
4515 Office Park Drive Jackson MS 39206
Phone: (601) 366-9005
Fax:
Website:
Map and Directions
Authorized official contact:
Name: Matthews, Endre Dejuan
Phone: (601) 366-9005

Health care specialties

SpecialtyCodeLicense #State
Chiropractic Providers / Chiropractor 111N00000X 1015 Mississippi

Profile Details

NPI number 1194955484
LBN Legal business name Matthews Chiropractic Clinic
DBA Doing business as
Authorized official Matthews, Endre Dejuan
Entity Organization
Organization subpart 1 No
Enumeration date Jul 21st, 2009
Last updated Jul 21st, 2009 - about 17 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 1194955484 NPPES
Mississippi MEDICAID 00125438

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