Provider Demographics
NPI:1770870511
Name:SCHICK, MATT WILLIAM (DC)
Entity type:Individual
Prefix:DR
First Name:MATT
Middle Name:WILLIAM
Last Name:SCHICK
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 1:16143 E 104TH WAY
Mailing Address - Street 2:
Mailing Address - City:COMMERCE CITY
Mailing Address - State:CO
Mailing Address - Zip Code:80022-0606
Mailing Address - Country:US
Mailing Address - Phone:970-596-0379
Mailing Address - Fax:
Practice Address - Street 1:2032 LOWE ST
Practice Address - Street 2:STE. 102
Practice Address - City:FORT COLLINS
Practice Address - State:CO
Practice Address - Zip Code:80525-5741
Practice Address - Country:US
Practice Address - Phone:970-377-1810
Practice Address - Fax:970-377-1815
Is Sole Proprietor?:No
Enumeration Date:2011-06-30
Last Update Date:2011-06-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CO6641111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor