Provider Demographics
NPI:1326484965
Name:PAUL, MATTHEW STEVEN (DC)
Entity Type:Individual
Prefix:DR
First Name:MATTHEW
Middle Name:STEVEN
Last Name:PAUL
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 1:430 6TH ST
Mailing Address - Street 2:PO BOX 216
Mailing Address - City:ARMSTRONG
Mailing Address - State:IA
Mailing Address - Zip Code:50514-7432
Mailing Address - Country:US
Mailing Address - Phone:712-868-4900
Mailing Address - Fax:712-868-4901
Practice Address - Street 1:430 6TH ST
Practice Address - Street 2:
Practice Address - City:ARMSTRONG
Practice Address - State:IA
Practice Address - Zip Code:50514-7432
Practice Address - Country:US
Practice Address - Phone:712-868-4900
Practice Address - Fax:712-868-4901
Is Sole Proprietor?:No
Enumeration Date:2013-05-21
Last Update Date:2017-03-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IA007663111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor