Organization
DR. MATTHEW NICHOLSON LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. MATTHEW NICHOLSON DC (OWNER)
(636) 978-5511
Entity
Organization
Contact information
Practice address
2520 HIGHWAY K, O FALLON, MO 63368-6625
(636) 978-5511
Mailing address
2520 HIGHWAY K, O FALLON, MO 63368-6625
(636) 978-5511
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
2010001122
MO
Other
Enumeration date
01/28/2011
Last updated
07/18/2012
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