Individual
MATTHEW JORDAN MERRITT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DC
Contact information
Practice address
62 S MADISON ST, CARTHAGE, IL 62321
(217) 357-5239
Mailing address
62 S MADISON ST, CARTHAGE, IL 62321-4103
(217) 357-5239
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
038.013313
IL
111N00000X
Chiropractor
2018015027
MO
Other
Enumeration date
06/04/2018
Last updated
10/10/2019
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