MATTHEWS CHIROPRACTIC CLINIC NPI 1194955484

NPI Information

  • NPI: 1194955484
  • Provider Name: MATTHEWS CHIROPRACTIC CLINIC
  • Classification: Chiropractor - 111N00000X
  • Entity Type: Organization
  • Address: 4515 OFFICE PARK DRIVE
    JACKSON, MS
    ZIP 39206
  • Phone: (601) 366-9005

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NPI Details

MATTHEWS CHIROPRACTIC CLINIC is a chiropractor in Jackson, MS. The provider is a provider qualified by a Doctor of Chiropractic (D.C.), licensed by the State and who practices chiropractic medicine -that discipline within the healing arts which deals with the nervous system and its relationship to the spinal column and its interrelationship with other body systems. MATTHEWS CHIROPRACTIC CLINIC NPI is 1194955484. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

4515 OFFICE PARK DRIVE
JACKSON, MS
ZIP 39206
Phone: (601) 366-9005

The provider's authorized official is Endre Dejuan Matthews .
The authorized official title is Owner and has the following contact phone number (601) 366-9005.

The enumeration date for this NPI number is 7/21/2009 and was last updated on 7/21/2009.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1111N00000XChiropractor1015MISSISSIPPIYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No. Other Provider Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
100125438MEDICAIDMISSISSIPPI
289819MEDICARE UPINMISSISSIPPI

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/21/2025

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