Boyeson, Matthew Peter

Boyeson, Matthew Peter is an individual health care provider with primary practice located at 6030 Saint Andrews Rd Ste M, Columbia SC 29212-3164. He recently has only one registered license in Chiropractic Providers / Chiropractor, which is considered as his primary health care specialty. Boyeson, Matthew Peter can be contacted via phone (803) 238-3433.

Contact Information

Primary practice address
6030 Saint Andrews Rd Ste M Columbia SC 29212-3164
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Chiropractic Providers / Chiropractor 111N00000X 4349 South Carolina
Chiropractic Providers / Chiropractor 111N00000X 5511 Kentucky

Profile Details

NPI number 1114478872
LBN Legal business name Boyeson, Matthew Peter
Credentials Doctor of Chiropractic (DC)
Entity Individual
Sole proprietor 1 No
Enumeration date Oct 18th, 2016
Last updated Jan 16th, 2019 - about 7 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 1114478872 NPPES
Kentucky MEDICAID 7100431890

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