Mitchell, Matthew Booth
Mitchell, Matthew Booth is an individual health care provider with primary practice located at 1364 Welsh Rd Suite A120, North Wales PA 19454-1913. He recently has only one registered license in Chiropractic Providers / Chiropractor, which is considered as his primary health care specialty. Mitchell, Matthew Booth can be contacted via phone (215) 628-2529.Contact Information
Primary practice address
1364 Welsh Rd Suite A120
North Wales PA 19454-1913
Phone: (215) 628-2529
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Chiropractic Providers / Chiropractor | 111N00000X | DC 008845 | Pennsylvania |
Profile Details
| NPI number | 1598828741 |
|---|---|
| LBN Legal business name | Mitchell, Matthew Booth |
| Credentials | Doctor of Chiropractic (DC) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Dec 19th, 2006 |
| Last updated | Aug 27th, 2014 - about 11 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1598828741 | NPPES |
| Pennsylvania | Other | 001464172 | HIGHMARK BLUE CROSS BLUE SHIEL |
| Pennsylvania | Other | 825429 | HIGHMARK BLUE CROSS BLUE SHIEL |
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