Provider Demographics
NPI:1508276684
Name:USEL, MATTHEW LEROY (DC)
Entity type:Individual
Prefix:DR
First Name:MATTHEW
Middle Name:LEROY
Last Name:USEL
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 1:1041 S HOLLY ST
Mailing Address - Street 2:
Mailing Address - City:DENVER
Mailing Address - State:CO
Mailing Address - Zip Code:80246-2307
Mailing Address - Country:US
Mailing Address - Phone:970-988-0328
Mailing Address - Fax:303-597-9689
Practice Address - Street 1:13751 E YALE AVE
Practice Address - Street 2:
Practice Address - City:AURORA
Practice Address - State:CO
Practice Address - Zip Code:80014-7351
Practice Address - Country:US
Practice Address - Phone:303-597-9595
Practice Address - Fax:303-597-9689
Is Sole Proprietor?:Yes
Enumeration Date:2014-04-29
Last Update Date:2014-04-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
COCHR0006782111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor