Provider Demographics
NPI:1316026222
Name:VINCLER, MATTHEW M (DC)
Entity Type:Individual
Prefix:
First Name:MATTHEW
Middle Name:M
Last Name:VINCLER
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 1:4246 S OVAL ST
Mailing Address - Street 2:
Mailing Address - City:DUBLIN
Mailing Address - State:OH
Mailing Address - Zip Code:43017-5024
Mailing Address - Country:US
Mailing Address - Phone:614-946-0755
Mailing Address - Fax:
Practice Address - Street 1:10248 SAWMILL PKWY
Practice Address - Street 2:
Practice Address - City:POWELL
Practice Address - State:OH
Practice Address - Zip Code:43065-9189
Practice Address - Country:US
Practice Address - Phone:614-389-4945
Practice Address - Fax:614-340-3090
Is Sole Proprietor?:No
Enumeration Date:2006-11-02
Last Update Date:2021-08-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OH3620111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor