Eaton, Matthew Robert

Eaton, Matthew Robert is an individual health care provider with primary practice located at 8690 W Pahs Rd , Michigan City IN 46360-7666. He recently has only one registered license in Chiropractic Providers / Chiropractor, which is considered as his primary health care specialty. Eaton, Matthew Robert can be contacted via phone (219) 872-5151.

Contact Information

Primary practice address
8690 W Pahs Rd Michigan City IN 46360-7666
Fax: (219) 872-0177
Website:

Health care specialties

SpecialtyCodeLicense #State
Chiropractic Providers / Chiropractor 111N00000X 08002127A Indiana
Chiropractic Providers / Chiropractor 111N00000X 3742 Ohio

Profile Details

NPI number 1578569471
LBN Legal business name Eaton, Matthew Robert
Credentials Doctor of Chiropractic (DC)
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 24th, 2005
Last updated Jul 8th, 2007 - about 17 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1578569471 NPPES
Indiana Other 000000506158 BC BS MICHIGAN CITY IN.

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