Healthcare Provider Details
I. General information
NPI: 1891625588
Provider Name (Legal Business Name): MATTHEW TRUEX DC
Entity Type: Individual
Gender: Male
Sole Proprietor: Y
II. Dates (important events)
Enumeration Date: 05/22/2026
Last Update Date: 05/22/2026
Certification Date: 05/22/2026
Deactivation Date:
Reactivation Date:
III. Provider practice location address
55971 NEW CASTLE RD
JERUSALEM OH
43747-9608
US
IV. Provider business mailing address
55971 NEW CASTLE RD
JERUSALEM OH
43747-9608
US
V. Phone/Fax
- Phone: 614-607-0218
- Fax:
- Phone: 614-607-0218
- Fax:
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 111N00000X |
| Taxonomy | Chiropractor |
| License Number | DC-05548 |
| License Number State | OH |
VIII. Authorized Official
Name:
Title or Position:
Credential:
Phone: