Provider Demographics
NPI:1538119235
Name:FLICK, MATTHEW ALLAN (DC)
Entity Type:Individual
Prefix:DR
First Name:MATTHEW
Middle Name:ALLAN
Last Name:FLICK
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 1:2016 BROWNSVILLE RD
Mailing Address - Street 2:
Mailing Address - City:PITTSBURGH
Mailing Address - State:PA
Mailing Address - Zip Code:15210-4204
Mailing Address - Country:US
Mailing Address - Phone:412-886-0336
Mailing Address - Fax:412-886-0355
Practice Address - Street 1:2016 BROWNSVILLE RD
Practice Address - Street 2:
Practice Address - City:PITTSBURGH
Practice Address - State:PA
Practice Address - Zip Code:15210-4204
Practice Address - Country:US
Practice Address - Phone:412-886-0336
Practice Address - Fax:412-886-0355
Is Sole Proprietor?:Not Answered
Enumeration Date:2006-05-11
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PADC006294L111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor
Provider Identifiers
StateIdentifier IDID TypeIssuer
PA811682OtherBLUE CROSS
PA811682OtherBLUE CROSS
PAU6139Medicare UPIN