Provider Demographics
NPI:1295832186
Name:STONE, MATTHEW MICHAEL (DC)
Entity Type:Individual
Prefix:DR
First Name:MATTHEW
Middle Name:MICHAEL
Last Name:STONE
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 1:712 PUTNAM PIKE
Mailing Address - Street 2:UNIT 4
Mailing Address - City:CHEPACHET
Mailing Address - State:RI
Mailing Address - Zip Code:02814-1404
Mailing Address - Country:US
Mailing Address - Phone:401-568-2200
Mailing Address - Fax:
Practice Address - Street 1:712 PUTNAM PIKE
Practice Address - Street 2:UNIT # 4
Practice Address - City:CHEPACHET
Practice Address - State:RI
Practice Address - Zip Code:02814
Practice Address - Country:US
Practice Address - Phone:401-309-4696
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2006-09-20
Last Update Date:2020-04-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
RIDCP00536111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor
Provider Identifiers
StateIdentifier IDID TypeIssuer
V08021Medicare UPIN