Provider Demographics
NPI:1720311350
Name:MATTHEWS, ERICA SUE (DC)
Entity Type:Individual
Prefix:DR
First Name:ERICA
Middle Name:SUE
Last Name:MATTHEWS
Suffix:
Gender:F
Credentials:DC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:4571 DOTY EAST RD
Mailing Address - Street 2:
Mailing Address - City:SOUTHINGTON
Mailing Address - State:OH
Mailing Address - Zip Code:44470-9781
Mailing Address - Country:US
Mailing Address - Phone:330-856-7761
Mailing Address - Fax:
Practice Address - Street 1:1980 NILES CORTLAND RD NE
Practice Address - Street 2:
Practice Address - City:CORTLAND
Practice Address - State:OH
Practice Address - Zip Code:44410-9405
Practice Address - Country:US
Practice Address - Phone:330-609-0355
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2009-09-15
Last Update Date:2009-09-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OH3970111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor