Matthew Dorchester, Dc, Ccsp, Llc

LBN: Matthew Dorchester, Dc, Ccsp, Llc
Matthew Dorchester, Dc, Ccsp, Llc is an health care organization with primary practice located at 18325 N Allied Way Suite 105, Phoenix AZ 85054-3105. The organization recently has 2 registered licenses in different health care specialties including Chiropractic Providers / Sports Physician, Allopathic & Osteopathic Physicians / General Practice. Allopathic & Osteopathic Physicians / General Practice is the primary health care specialty. Matthew Dorchester, Dc, Ccsp, Llc can be contacted via phone (480) 991-3399, or through Dorchester, Matthew via phone (480) 991-3399.

Contact Information

Primary practice address
18325 N Allied Way Suite 105 Phoenix AZ 85054-3105
Fax: (480) 905-0815
Website:
Authorized official contact:
Name: Dorchester, Matthew Doctor of Chiropractic (DC)

Health care specialties

SpecialtyCodeLicense #State
Chiropractic Providers / Sports Physician 111NS0005X 1578 Arizona
Allopathic & Osteopathic Physicians / General Practice 208D00000X 10597 Arizona

Profile Details

NPI number 1962697706
LBN Legal business name Matthew Dorchester, Dc, Ccsp, Llc
DBA Doing business as
Authorized official Dorchester, Matthew Doctor of Chiropractic (DC)
Entity Organization
Organization subpart 1 No
Enumeration date Sep 13th, 2007
Last updated Jan 5th, 2012 - about 12 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1962697706 NPPES
Arizona Other Z117689 PTAN

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