Selvidge Chiropractic PC

NPI #1205027364 in Mattoon, Illinois

Provider Information

NPI Number: 1205027364
Entity Type: Organization
Organization Name: Selvidge Chiropractic PC
Primary Specialty: Chiropractor
Enumeration Date: Aug 5, 2007
Last Updated: Nov 21, 2007

Practice Location

Address: 608 BROADWAY AVE
City: Mattoon
State: Illinois
ZIP Code: 61938-4321
Phone: (217) 235-4664

Authorized Official

Name: DONALD R. SELVIDGE, D.C.
Title: DOCTOR OF CHIROPRACTIC
Phone: (217) 235-4664

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Chiropractor	111N00000X	Primary

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