Dr. Matthew Lee Davidson
Chiropractic Sports Physician
1809 Heritage Hills Dr
Washington
, Missouri 63090-4624
Dr. Matthew Lee Davidson
Chiropractic Sports Physician
1809 Heritage Hills Dr
Washington
, Missouri 63090-4624
(636) 239-4499
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About
Features
Specialties
- Chiropractic Sports Physician
Languages spoken
- English
Location
First Address
- Dr. Matthew Lee Davidson
- 1809 Heritage Hills Center Drive
- Washington, MO
- Zip : 43090-4624
- Fax : (636) 239-4499
- Phone : (636) 239-5252
Second Address
- Dr. Matthew Lee Davidson
- 1809 Heritage Hills Dr
- Washington, MO
- Zip : 63090-4624
- Fax : (636) 239-4499
- Phone : (636) 239-5252
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| Y | 111NS0005X | Chiropractic Sports Physician | 2011012876 | MO |
National Provider Identifier
| NPI | 1255624508 |
|---|---|
| Provider Name | Dr. Matthew Lee Davidson |
| First Address | Washington, MO 43090-4624 |
| Second Address | Washington, MO 63090-4624 |
| Gender | M |
| NPI Entity type | Individual |
| Is Sole Proprietor | No |
| Is Organization Subpart | N/A |
| Enumeration Date | 19/05/2011 |
| Last Update Date | 17/04/2017 |
NPI Footnotes
What is the National Provider Identifier (NPI)
Provider Location Address
Provider Mailing Address
Entity Type Code
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)
What is a Subpart?
Provider Other Organization Name
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.