Provider Demographics
NPI:1891907887
Name:MATHEWS, JEFFREY BURRELL (DC)
Entity Type:Individual
Prefix:DR
First Name:JEFFREY
Middle Name:BURRELL
Last Name:MATHEWS
Suffix:
Gender:M
Credentials:DC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
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Other - Credentials:
Mailing Address - Street 1:455 E PIKES PEAK AVE
Mailing Address - Street 2:STE 309
Mailing Address - City:COLORADO SPRINGS
Mailing Address - State:CO
Mailing Address - Zip Code:80903-3674
Mailing Address - Country:US
Mailing Address - Phone:719-203-4252
Mailing Address - Fax:719-471-2116
Practice Address - Street 1:120 E LAS ANIMAS ST
Practice Address - Street 2:
Practice Address - City:COLORADO SPRINGS
Practice Address - State:CO
Practice Address - Zip Code:80903-4138
Practice Address - Country:US
Practice Address - Phone:719-203-4252
Practice Address - Fax:719-203-4276
Is Sole Proprietor?:No
Enumeration Date:2007-05-04
Last Update Date:2016-03-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CO5752111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor