Healthcare Provider Details

I. General information

NPI: 1568584100
Provider Name (Legal Business Name): CHAD E MATHEY D.C,
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 04/04/2007
Last Update Date: 10/28/2024
Certification Date: 10/28/2024
Deactivation Date:
Reactivation Date:

III. Provider practice location address

7 TOWN CENTER DR NW STE 301
HUNTSVILLE AL
35806-2674
US

IV. Provider business mailing address

8901 S SANTA FE AVE STE A
OKLAHOMA CITY OK
73139-8413
US

V. Phone/Fax

Practice location:
  • Phone: 256-513-9804
  • Fax:
Mailing address:
  • Phone: 405-724-8978
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code111NR0400X
TaxonomyRehabilitation Chiropractor
License Number5473
License Number StateCO
# 2
Primary TaxonomyY
Taxonomy Code111N00000X
TaxonomyChiropractor
License Number2700
License Number StateTN
# 3
Primary TaxonomyN
Taxonomy Code111N00000X
TaxonomyChiropractor
License Number0314
License Number StateAL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: