Provider Demographics
NPI:1710669825
Name:MATTHEW GLYNN DC, PLLC
Entity Type:Organization
Organization Name:MATTHEW GLYNN DC, PLLC
Other - Org Name:COLIBRIUM CHIROPRACTIC AND WELLNESS
Other - Org Type:Doing Business As
Authorized Official - Title/Position:OWNER/PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:MATTHEW
Authorized Official - Middle Name:
Authorized Official - Last Name:GLYNN
Authorized Official - Suffix:
Authorized Official - Credentials:DC
Authorized Official - Phone:509-714-6562
Mailing Address - Street 1:183 BARTLETT ST STE 120
Mailing Address - Street 2:
Mailing Address - City:ASHEVILLE
Mailing Address - State:NC
Mailing Address - Zip Code:28801-4306
Mailing Address - Country:US
Mailing Address - Phone:509-714-6562
Mailing Address - Fax:
Practice Address - Street 1:183 BARTLETT ST STE 120
Practice Address - Street 2:STE 120
Practice Address - City:ASHEVILLE
Practice Address - State:NC
Practice Address - Zip Code:28801-4306
Practice Address - Country:US
Practice Address - Phone:509-714-6562
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2023-08-07
Last Update Date:2023-09-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes111N00000XChiropractic ProvidersChiropractorGroup - Multi-Specialty