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MATKIN CHIROPRACTIC OFFICE INC NPI 1811182520


NPI Information

NPI: 1811182520
Provider Name: MATKIN CHIROPRACTIC OFFICE INC
Classification: Chiropractor - 111N00000X
Entity Type: Organization

CLIA Number: 45D2050749

Address:
727 E FERGUSON RD
MT PLEASANT, TX
ZIP 75455
Phone: (903) 572-0212
Get Directions

MATKIN CHIROPRACTIC OFFICE INC is a chiropractor in Mt Pleasant, TX. 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. MATKIN CHIROPRACTIC OFFICE INC NPI is 1811182520. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

727 E FERGUSON RD
MT PLEASANT, TX
ZIP 75455-428
Phone: (903) 572-0212
Fax: (903) 572-5321

The provider's authorized official is Charles Mitchell Matkin .
The authorized official title is Owner and has the following contact phone number (903) 572-0212.

The CLIA number assigned to this NPI record is 45D2050749 - practitioner other with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 9/6/2007 and was last updated on 5/4/2011.


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 CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1111N00000XChiropractorDC2841TEXASYes

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 IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
10072NROTHERTEXASBCBS
2001144701MEDICAIDTEXAS
3601115MEDICARE PINTEXAS

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: 4/28/2024

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