Provider Demographics
NPI:1568728731
Name:MATTHEWS CHIROPRACTIC INC
Entity Type:Organization
Organization Name:MATTHEWS CHIROPRACTIC INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:BRIAN
Authorized Official - Middle Name:
Authorized Official - Last Name:MATTHEWS
Authorized Official - Suffix:
Authorized Official - Credentials:DC
Authorized Official - Phone:561-547-7878
Mailing Address - Street 1:5100 S DIXIE HWY
Mailing Address - Street 2:STE 9
Mailing Address - City:WEST PALM BEACH
Mailing Address - State:FL
Mailing Address - Zip Code:33405-3240
Mailing Address - Country:US
Mailing Address - Phone:561-547-7878
Mailing Address - Fax:561-547-7879
Practice Address - Street 1:5100 S DIXIE HWY
Practice Address - Street 2:STE 9
Practice Address - City:WEST PALM BEACH
Practice Address - State:FL
Practice Address - Zip Code:33405-3240
Practice Address - Country:US
Practice Address - Phone:561-547-7878
Practice Address - Fax:561-547-7879
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2012-04-02
Last Update Date:2012-04-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLCH 8426111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes111N00000XChiropractic ProvidersChiropractorGroup - Single Specialty