Pascagoula Clinic of Chiropractic LLC

Primary specialty

Clinic/CenterTaxonomy code 261Q00000X

License

1216 Issued in MS

Legal business name

PASCAGOULA CLINIC OF CHIROPRACTIC LLC

Practice address

421 Delmas Ave
Pascagoula, MS 39567-4136

Phone

(228) 205-3985

Fax

(228) 205-3987

NPI assigned

Feb 19, 2014

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Matthew Bartlett, D.C.

Title

President

Phone

(228) 219-4035

Specialties & licenses 1

Addresses

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1392768000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1392768000000",
    "number": "1285059824",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "421 DELMAS AVE",
            "city": "PASCAGOULA",
            "state": "MS",
            "postal_code": "395674136",
            "telephone_number": "228-205-3985",
            "fax_number": "228-205-3987"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "421 DELMAS AVE",
            "city": "PASCAGOULA",
            "state": "MS",
            "postal_code": "395674136",
            "telephone_number": "228-205-3985",
            "fax_number": "228-205-3987"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PASCAGOULA CLINIC OF CHIROPRACTIC LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-02-19",
        "last_updated": "2014-02-19",
        "status": "A",
        "authorized_official_last_name": "BARTLETT",
        "authorized_official_first_name": "MATTHEW",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "228-219-4035",
        "authorized_official_credential": "D.C."
    },
    "taxonomies": [
        {
            "code": "261Q00000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center",
            "state": "MS",
            "license": "1216",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Clinic/Center in Pascagoula, MS
• Providers in Pascagoula, MS by specialty
• Clinic/Center in Mississippi

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 19, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.