Provider Demographics
NPI:1568584100
Name:MATHEY, CHAD E (DC,)
Entity type:Individual
Prefix:DR
First Name:CHAD
Middle Name:E
Last Name:MATHEY
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 1:8901 S SANTA FE AVE STE A
Mailing Address - Street 2:
Mailing Address - City:OKLAHOMA CITY
Mailing Address - State:OK
Mailing Address - Zip Code:73139-8413
Mailing Address - Country:US
Mailing Address - Phone:405-724-8978
Mailing Address - Fax:
Practice Address - Street 1:7 TOWN CENTER DR NW STE 301
Practice Address - Street 2:
Practice Address - City:HUNTSVILLE
Practice Address - State:AL
Practice Address - Zip Code:35806-2674
Practice Address - Country:US
Practice Address - Phone:256-513-9804
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2007-04-04
Last Update Date:2024-10-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CO5473111NR0400X
TN2700111N00000X
AL0314111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor
No111NR0400XChiropractic ProvidersChiropractorRehabilitation
Provider Identifiers
StateIdentifier IDID TypeIssuer
COMA672273OtherBLUE CROSS
COC519258Medicare ID - Type Unspecified