Provider Demographics
NPI:1457589624
Name:MATTHEW NIXON, INC
Entity Type:Organization
Organization Name:MATTHEW NIXON, INC
Other - Org Name:M.B. NIXON, D.C.
Other - Org Type:Other Name
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:MATTHEW
Authorized Official - Middle Name:BRYAN
Authorized Official - Last Name:NIXON
Authorized Official - Suffix:
Authorized Official - Credentials:DC
Authorized Official - Phone:239-656-3400
Mailing Address - Street 1:13240 N CLEVELAND AVE
Mailing Address - Street 2:SUITE 9
Mailing Address - City:NORTH FORT MYERS
Mailing Address - State:FL
Mailing Address - Zip Code:33903-4855
Mailing Address - Country:US
Mailing Address - Phone:239-656-3400
Mailing Address - Fax:239-656-3401
Practice Address - Street 1:13240 N CLEVELAND AVE
Practice Address - Street 2:SUITE 9
Practice Address - City:NORTH FORT MYERS
Practice Address - State:FL
Practice Address - Zip Code:33903-4855
Practice Address - Country:US
Practice Address - Phone:239-656-3400
Practice Address - Fax:239-656-3401
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2009-06-26
Last Update Date:2009-06-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes111NR0400XChiropractic ProvidersChiropractorRehabilitationGroup - Single Specialty