Provider Demographics
NPI:1598097586
Name:WESTHEIMER, MATTHEW CRAIG (DC)
Entity Type:Individual
Prefix:
First Name:MATTHEW
Middle Name:CRAIG
Last Name:WESTHEIMER
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 1:2501B PLANTATION CENTER DR
Mailing Address - Street 2:
Mailing Address - City:MATTHEWS
Mailing Address - State:NC
Mailing Address - Zip Code:28105-5298
Mailing Address - Country:US
Mailing Address - Phone:980-279-7557
Mailing Address - Fax:
Practice Address - Street 1:2501B PLANTATION CENTER DR
Practice Address - Street 2:
Practice Address - City:MATTHEWS
Practice Address - State:NC
Practice Address - Zip Code:28105-5298
Practice Address - Country:US
Practice Address - Phone:980-279-7557
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2010-02-02
Last Update Date:2020-07-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLCH9775111N00000X
NC5081111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor