Provider Demographics
NPI:1922244144
Name:HOUFE, MATTHEW MARK (DC)
Entity Type:Individual
Prefix:DR
First Name:MATTHEW
Middle Name:MARK
Last Name:HOUFE
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 1:75 WEST FULTON ST
Mailing Address - Street 2:
Mailing Address - City:EDGERTON
Mailing Address - State:WI
Mailing Address - Zip Code:53534
Mailing Address - Country:US
Mailing Address - Phone:608-884-3100
Mailing Address - Fax:608-884-3199
Practice Address - Street 1:75 WEST FULTON ST
Practice Address - Street 2:
Practice Address - City:EDGERTON
Practice Address - State:WI
Practice Address - Zip Code:53534
Practice Address - Country:US
Practice Address - Phone:608-884-3100
Practice Address - Fax:608-884-3199
Is Sole Proprietor?:No
Enumeration Date:2008-12-17
Last Update Date:2009-05-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WI4460-012111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor