Provider Demographics
NPI:1437452851
Name:BYUS, MATTHEW WILLIAM (DC)
Entity Type:Individual
Prefix:DR
First Name:MATTHEW
Middle Name:WILLIAM
Last Name:BYUS
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 1:249 S MAIN ST
Mailing Address - Street 2:
Mailing Address - City:CAMBRIDGE
Mailing Address - State:VT
Mailing Address - Zip Code:05444-9773
Mailing Address - Country:US
Mailing Address - Phone:802-644-2260
Mailing Address - Fax:802-644-5746
Practice Address - Street 1:249 S MAIN ST
Practice Address - Street 2:
Practice Address - City:CAMBRIDGE
Practice Address - State:VT
Practice Address - Zip Code:05444-9773
Practice Address - Country:US
Practice Address - Phone:802-644-2260
Practice Address - Fax:802-644-5746
Is Sole Proprietor?:Yes
Enumeration Date:2010-12-07
Last Update Date:2011-07-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IA007379111N00000X
VT006.0079419111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor