Healthcare Provider Details

I. General information

NPI: 1912329897
Provider Name (Legal Business Name): MATTHEW MCFARLAND D.C.
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 01/13/2014
Last Update Date: 01/13/2014
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

311 PINE ST
WEST PLAINS MO
65775-2533
US

IV. Provider business mailing address

311 PINE ST
WEST PLAINS MO
65775-2533
US

V. Phone/Fax

Practice location:
  • Phone: 417-293-9172
  • Fax:
Mailing address:
  • Phone: 417-293-9172
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code111NS0005X
TaxonomySports Physician Chiropractor
License Number2014000855
License Number StateMO
# 2
Primary TaxonomyN
Taxonomy Code111NX0800X
TaxonomyOrthopedic Chiropractor
License Number2014000855
License Number StateMO
# 3
Primary TaxonomyN
Taxonomy Code111NP0017X
TaxonomyPediatric Chiropractor
License Number2014000855
License Number StateMO

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: