Dr. Matthew Nicholson LLC

NPI #1609172311 in O Fallon, Missouri

Provider Information

NPI Number: 1609172311
Entity Type: Organization
Organization Name: Dr. Matthew Nicholson LLC
Primary Specialty: Chiropractor
Enumeration Date: Jan 28, 2011
Last Updated: Jul 18, 2012

Practice Location

Address: 2520 HIGHWAY K
City: O Fallon
State: Missouri
ZIP Code: 63368-6625
Phone: (636) 978-5511

Authorized Official

Name: DR. MATTHEW NICHOLSON, DC
Title: OWNER
Phone: (636) 978-5511

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Chiropractor	111N00000X	Primary

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