Provider Demographics
NPI:1518433952
Name:SCHLAGHECK, MATTHEW DAVID (DC)
Entity Type:Individual
Prefix:DR
First Name:MATTHEW
Middle Name:DAVID
Last Name:SCHLAGHECK
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 1:1410 ALEXANDRIA PIKE APT 13
Mailing Address - Street 2:
Mailing Address - City:FORT THOMAS
Mailing Address - State:KY
Mailing Address - Zip Code:41075-2552
Mailing Address - Country:US
Mailing Address - Phone:513-317-2553
Mailing Address - Fax:
Practice Address - Street 1:998 DUDLEY PIKE
Practice Address - Street 2:
Practice Address - City:EDGEWOOD
Practice Address - State:KY
Practice Address - Zip Code:41017-8174
Practice Address - Country:US
Practice Address - Phone:859-426-1100
Practice Address - Fax:859-426-0809
Is Sole Proprietor?:Yes
Enumeration Date:2018-10-23
Last Update Date:2024-03-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
KY249226111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor