Doctor Name: | MATTHEW B CLOVER |
NPI Number: | 1043297641 |
Entity Type Code: | Individual (1) |
Gender: | M |
Credentials: | DC |
License Number: | 4089012WI |
Business Practice Address: | 1576 Lyon Dr Neenah, WI - 549565069 |
Business Phone Number: | 9207221744 |
Business Fax Number: | 9207227949 |
Mailing Address: | Po Box 246, NEENAH |
State: | WI |
Postal Code: | 549570246 |
Phone Number: | 9207227947 |
Fax Number: | 9207227949 |
NPI Enumeration Date: | 12/27/2005 |
NPI Last Update Date: | 12/20/2012 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 111N00000X |
License Number: | 4089012WI |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | WI |
Taxonomy Type: | Chiropractic Providers |
Taxonomy Classification: | Chiropractor |
Taxonomy Specialization: | |
Taxonomy Definition: | A provider qualified by a Doctor of Chiropractic (D.C.), licensed by the State and who practices chiropractic medicine -that discipline within the healing arts which deals with the nervous system and its relationship to the spinal column and its interrelationship with other body systems. |