Provider Demographics
NPI:1033156963
Name:MATTHEW D. FINKE, DC
Entity Type:Organization
Organization Name:MATTHEW D. FINKE, DC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:MATTHEW
Authorized Official - Middle Name:D
Authorized Official - Last Name:FINKE
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:513-272-9200
Mailing Address - Street 1:6929 MIAMI AVE
Mailing Address - Street 2:
Mailing Address - City:CINCINNATI
Mailing Address - State:OH
Mailing Address - Zip Code:45243-2632
Mailing Address - Country:US
Mailing Address - Phone:513-272-9200
Mailing Address - Fax:513-272-9202
Practice Address - Street 1:7809 LAUREL AVE
Practice Address - Street 2:
Practice Address - City:CINCINNATI
Practice Address - State:OH
Practice Address - Zip Code:45243-2692
Practice Address - Country:US
Practice Address - Phone:513-272-9200
Practice Address - Fax:513-272-9202
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-05-31
Last Update Date:2007-11-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OH3157111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes111N00000XChiropractic ProvidersChiropractorGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
OH000000303619OtherBCBS
OH2285594Medicaid
OH000000303619OtherBCBS