Individual
MATTHEW R NICHOLSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DC
Contact information
Practice address
2534 HIGHWAY K, O FALLON, MO 63368-6625
(636) 978-5511
(636) 281-5511
Mailing address
2534 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
01/29/2010
Last updated
01/27/2016
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