Charles, Matthew J

Charles, Matthew J is an individual health care provider with primary practice located at 96 Union St , Easthampton MA 01027-1450. He recently has only one registered license in Chiropractic Providers / Chiropractor, which is considered as his primary health care specialty. Charles, Matthew J can be contacted via phone (724) 882-7963.

Contact Information

Primary practice address
96 Union St Easthampton MA 01027-1450
Phone: (724) 882-7963
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Chiropractic Providers / Chiropractor 111N00000X 001688 Connecticut
Chiropractic Providers / Chiropractor 111N00000X 3226 Massachusetts

Profile Details

NPI number 1134206808
LBN Legal business name Charles, Matthew J
Credentials Doctor of Chiropractic (DC)
Entity Individual
Sole proprietor 1 No
Enumeration date Nov 1st, 2006
Last updated May 6th, 2009 - about 16 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 1134206808 NPPES
Connecticut Other 11618170 CAQH
Connecticut Other 050001688CT01 CAQH

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