person
Dr. William Scott Selvidge, DC
Chiropractor in Mattoon, Illinois
NPI 1841347812

William Scott Selvidge is a Chiropractor based in Mattoon, IL. William Scott Selvidge practices in Mattoon, IL and has the professional credentials of DC. The NPI Number for William Scott Selvidge is 1841347812 and holds a License No. 038-008622 (Illinois).

The current practice location address for William Scott Selvidge is 608 Broadway Ave, Mattoon, IL and can be reached out via phone at 217-235-4664 and via fax at 217-235-2100.

Location: 608 Broadway Ave, Mattoon, IL, 61938-4321
person
Provider Profile Details
NPI Number
1841347812
Provider Name
William Scott Selvidge
Credential
DC
Provider Entity Type
Individual
Gender
Male
Address
608 Broadway Ave, Mattoon, IL, 61938-4321
Phone Number
217-235-4664
Fax Number
217-235-2100
Provider Enumeration Date
01/04/2007
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
038008622 05 IL
44-03304 01 IL UNITED HEALTHCARE
06022634 01 IL BCBS OF IL
9086460 01 IL PRIVATE HEALTHCARE SYSTEM
407016 01 IL HEALTHLINK
institution
Provider Business Practice Location Address Details
Address
608 Broadway Ave
City
State
Zip
61938-4321
Phone Number
217-235-4664
Fax Number
217-235-2100
person
Provider Business Mailing Address Details
Address
608 Broadway Ave
City
State
Zip
61938-4321
Phone Number
217-235-4664
Fax Number
217-235-2100
person
Provider's Taxonomy Details 1
Type
Chiropractic Providers
Classification
Chiropractor
Speciality
-
Taxonomy
License No.
038-008622 (Illinois)
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.
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