NPI Code Details Logo

NPI 1316933047

NPI 1316933047 : MATTHEW NIXON DC : HERNANDO, FL

=====================================================
General NPI Number Information
=====================================================
    NPI Number           |    1316933047
-----------------------------------------------------
    Entity Type          |    Individual 
-----------------------------------------------------
    Provider Name        |    MATTHEW NIXON DC
-----------------------------------------------------
    Gender               |    Male 
-----------------------------------------------------

=====================================================
Dates
=====================================================
    Enumeration Date     |    09/27/2005
-----------------------------------------------------
    Last Update Date     |    08/27/2025
-----------------------------------------------------

=====================================================
Provider Practice Location Address
=====================================================
    Address Line         |    1049 E NORVELL BRYANT HWY 
-----------------------------------------------------
    City                 |    HERNANDO
-----------------------------------------------------
    State                |    FL
-----------------------------------------------------
    Zip                  |    34442-6500
-----------------------------------------------------
    Country              |    US
-----------------------------------------------------
    Telephone            |    256-300-0499
-----------------------------------------------------
    Fax                  |    
-----------------------------------------------------

=====================================================
Provider Business Mailing Address
=====================================================
    Address Line         |    1049 E NORVELL BRYANT HWY 
-----------------------------------------------------
    City                 |    HERNANDO
-----------------------------------------------------
    State                |    FL
-----------------------------------------------------
    Zip                  |    34442-6500
-----------------------------------------------------
    Country              |    US
-----------------------------------------------------
    Telephone            |    256-300-0499
-----------------------------------------------------
    Fax                  |    239-656-3401
-----------------------------------------------------

=====================================================
Authorized Official
=====================================================
    Title or Position    |    
-----------------------------------------------------
    Name                 |        
-----------------------------------------------------
    Credential           |    
-----------------------------------------------------
    Telephone            |    
-----------------------------------------------------

=====================================================
Scope of Practice (Provider's specialty)
=====================================================
Taxonomy #1
-----------------------------------------------------
    Taxonomy Code        |    111N00000X
-----------------------------------------------------
    Taxonomy Name        |    Chiropractor
-----------------------------------------------------
    License Number       |    2291
-----------------------------------------------------
    License Number State |    AL
-----------------------------------------------------
Taxonomy #2
-----------------------------------------------------
    Taxonomy Code        |    111N00000X
-----------------------------------------------------
    Taxonomy Name        |    Chiropractor
-----------------------------------------------------
    License Number       |    CH8126
-----------------------------------------------------
    License Number State |    FL
-----------------------------------------------------



                        

Copyright © 2007-2025 Data Labs Health. All rights reserved.