Provider Demographics
NPI:1093748584
Name:AKINS, MATTHEW ANTHONY (DC)
Entity Type:Individual
Prefix:
First Name:MATTHEW
Middle Name:ANTHONY
Last Name:AKINS
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 1:919 W JACKSON ST
Mailing Address - Street 2:
Mailing Address - City:MUNCIE
Mailing Address - State:IN
Mailing Address - Zip Code:47305-1554
Mailing Address - Country:US
Mailing Address - Phone:765-288-3276
Mailing Address - Fax:765-289-2389
Practice Address - Street 1:919 W JACKSON ST
Practice Address - Street 2:
Practice Address - City:MUNCIE
Practice Address - State:IN
Practice Address - Zip Code:47305-1554
Practice Address - Country:US
Practice Address - Phone:765-288-3276
Practice Address - Fax:765-289-2389
Is Sole Proprietor?:Yes
Enumeration Date:2006-07-08
Last Update Date:2020-04-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IN08001878A111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor
Provider Identifiers
StateIdentifier IDID TypeIssuer
IN200424520AMedicaid
IN211050Medicare ID - Type Unspecified