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NPI Code Detail

MEDICARE: MATTHEW B. ANDERSON D.C., P.C.

MEDICARE: MATTHEW B. ANDERSON D.C., P.C.
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1111NX0100XOccupational Health ChiropractorB-443NV
2111N00000XChiropractorB-443NV

General Provider Information

NPI Number : 1932287596
Entity Type Code : Individual
Provider Name (Legal Business Name) : MATTHEW B. ANDERSON D.C., P.C.
Provider Business Mailing Address
First Line : 113 WEST MOORPOINT DRIVE
Second Line :
City : NORTH LAS VEGAS
State : NV
Zip : 89081-2810
Country : US
Telephone Number : 702-327-2495
Fax Number :
Provider Business Practice Location Address
First Line : 2590 NATURE PARK DR STE 135
Second Line :
City : NORTH LAS VEGAS
State : NV
Zip : 89084-3187
Country : US
Telephone Number : 702-636-2843
Fax Number : 702-726-9543
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 11/01/2006
Last Update Date : 09/20/2022

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