Provider Demographics
NPI:1629831391
Name:ABEL, MATTHEW CLARK (DC)
Entity Type:Individual
Prefix:DR
First Name:MATTHEW
Middle Name:CLARK
Last Name:ABEL
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 1:9010 GLENWATER DR STE 102
Mailing Address - Street 2:
Mailing Address - City:CHARLOTTE
Mailing Address - State:NC
Mailing Address - Zip Code:28262-8593
Mailing Address - Country:US
Mailing Address - Phone:704-596-9400
Mailing Address - Fax:704-549-4050
Practice Address - Street 1:9010 GLENWATER DR STE 102
Practice Address - Street 2:
Practice Address - City:CHARLOTTE
Practice Address - State:NC
Practice Address - Zip Code:28262-8593
Practice Address - Country:US
Practice Address - Phone:704-596-9400
Practice Address - Fax:704-549-4050
Is Sole Proprietor?:Yes
Enumeration Date:2024-02-05
Last Update Date:2024-02-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NC5727111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor