NPI 1366527210
Donald R. Selvidge, DC
Practice location
- Address
- 608 Broadway Ave, Mattoon, IL 61938-4321
- Phone
- (217) 235-4664
- Fax
- (217) 235-2100
Registered specialties
Chiropractor
Primary
Registry record
- NPI
- 1366527210
- Entity type
- Individual
- Sex (as registered)
- Male
- NPI issued
- 26 Oct 2006
- Record last updated
- 20 Nov 2007
Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.