Provider Demographics
NPI:1851092084
Name:PHILLIPS, DREW MATTHEW (DC)
Entity Type:Individual
Prefix:DR
First Name:DREW
Middle Name:MATTHEW
Last Name:PHILLIPS
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 1:234 N PLAZA BLVD
Mailing Address - Street 2:
Mailing Address - City:CHILLICOTHE
Mailing Address - State:OH
Mailing Address - Zip Code:45601-1798
Mailing Address - Country:US
Mailing Address - Phone:740-772-4476
Mailing Address - Fax:740-774-4478
Practice Address - Street 1:234 N PLAZA BLVD
Practice Address - Street 2:
Practice Address - City:CHILLICOTHE
Practice Address - State:OH
Practice Address - Zip Code:45601-1798
Practice Address - Country:US
Practice Address - Phone:740-772-4476
Practice Address - Fax:740-774-4478
Is Sole Proprietor?:No
Enumeration Date:2023-03-14
Last Update Date:2023-03-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OH05244111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor