Provider Demographics
NPI:1629137369
Name:HORVATH, MATTHEW BRIAN (DC)
Entity Type:Individual
Prefix:DR
First Name:MATTHEW
Middle Name:BRIAN
Last Name:HORVATH
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 1:112 N WINSTEAD AVE
Mailing Address - Street 2:
Mailing Address - City:ROCKY MOUNT
Mailing Address - State:NC
Mailing Address - Zip Code:27804-2235
Mailing Address - Country:US
Mailing Address - Phone:252-443-7496
Mailing Address - Fax:252-443-9062
Practice Address - Street 1:112 N WINSTEAD AVE
Practice Address - Street 2:
Practice Address - City:ROCKY MOUNT
Practice Address - State:NC
Practice Address - Zip Code:27804-2235
Practice Address - Country:US
Practice Address - Phone:252-443-7496
Practice Address - Fax:252-443-9062
Is Sole Proprietor?:Yes
Enumeration Date:2006-12-08
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NC1935111NS0005X
AL1182111NS0005X
MI006532111NS0005X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111NS0005XChiropractic ProvidersChiropractorSports Physician
Provider Identifiers
StateIdentifier IDID TypeIssuer
NC890851-VMedicaid
NC2449186Medicare ID - Type Unspecified
NC890851-VMedicaid