Provider Demographics
NPI:1679552061
Name:ALIX, MATTHEW ELLIOTT (DC)
Entity Type:Individual
Prefix:DR
First Name:MATTHEW
Middle Name:ELLIOTT
Last Name:ALIX
Suffix:
Gender:M
Credentials:DC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:6880 PERIMETER DR STE A
Mailing Address - Street 2:
Mailing Address - City:DUBLIN
Mailing Address - State:OH
Mailing Address - Zip Code:43016-2521
Mailing Address - Country:US
Mailing Address - Phone:614-791-0077
Mailing Address - Fax:614-791-0011
Practice Address - Street 1:6880 PERIMETER DR STE A
Practice Address - Street 2:
Practice Address - City:DUBLIN
Practice Address - State:OH
Practice Address - Zip Code:43016-2521
Practice Address - Country:US
Practice Address - Phone:614-791-0077
Practice Address - Fax:614-791-0011
Is Sole Proprietor?:No
Enumeration Date:2006-01-13
Last Update Date:2022-07-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OH2886111NS0005X, 111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor
No111NS0005XChiropractic ProvidersChiropractorSports Physician
Provider Identifiers
StateIdentifier IDID TypeIssuer
OH2146225Medicaid
OHAL9343871Medicare ID - Type UnspecifiedGROUP
OH2146225Medicaid