Provider Demographics
NPI:1003846437
Name:SAVONA, MATTHEW (DC)
Entity Type:Individual
Prefix:DR
First Name:MATTHEW
Middle Name:
Last Name:SAVONA
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 1:179 N MAIN ST
Mailing Address - Street 2:PO BOX 265
Mailing Address - City:DUBLIN
Mailing Address - State:PA
Mailing Address - Zip Code:18917-2107
Mailing Address - Country:US
Mailing Address - Phone:215-249-9200
Mailing Address - Fax:215-249-3118
Practice Address - Street 1:179 N MAIN ST
Practice Address - Street 2:SUITE 201
Practice Address - City:DUBLIN
Practice Address - State:PA
Practice Address - Zip Code:18917-2107
Practice Address - Country:US
Practice Address - Phone:215-249-9200
Practice Address - Fax:215-249-3118
Is Sole Proprietor?:No
Enumeration Date:2006-07-03
Last Update Date:2012-12-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PADC008804111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor
Provider Identifiers
StateIdentifier IDID TypeIssuer
PA001660754OtherHIGHMARK PROVIDER NUMBER
PA2341923000OtherKEYSTONE HPE GROUP NUMBER
PA2341923000OtherIBC GROUP NUMBER
PA3795620OtherAETNA PROVIDER NUMBER
U91104Medicare UPIN
PASA059225Medicare ID - Type UnspecifiedMEDICARE IDENTIFICATION