Provider Demographics
NPI:1225051840
Name:MATTERN, MARGARET ELIZABETH (DC)
Entity Type:Individual
Prefix:
First Name:MARGARET
Middle Name:ELIZABETH
Last Name:MATTERN
Suffix:
Gender:F
Credentials:DC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:475 SCHOOL ST STE 2
Mailing Address - Street 2:
Mailing Address - City:MARSHFIELD
Mailing Address - State:MA
Mailing Address - Zip Code:02050-2034
Mailing Address - Country:US
Mailing Address - Phone:781-837-8511
Mailing Address - Fax:781-837-4011
Practice Address - Street 1:475 SCHOOL ST STE 2
Practice Address - Street 2:
Practice Address - City:MARSHFIELD
Practice Address - State:MA
Practice Address - Zip Code:02050-2034
Practice Address - Country:US
Practice Address - Phone:781-837-8511
Practice Address - Fax:781-837-4011
Is Sole Proprietor?:Yes
Enumeration Date:2006-07-25
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MA721111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor
Provider Identifiers
StateIdentifier IDID TypeIssuer
MAY35510Medicare ID - Type UnspecifiedCURRENT PROVIDER I.D. NUM