Stevens, Matthew Brinton

Stevens, Matthew Brinton is an individual health care provider with primary practice located at 710 N 4Th St , Montpelier ID 83254-1050. He recently has only one registered license in Chiropractic Providers / Chiropractor, which is considered as his primary health care specialty. Stevens, Matthew Brinton can be contacted via phone (208) 847-2273.

Contact Information

Primary practice address
710 N 4Th St Montpelier ID 83254-1050
Phone: (208) 847-2273
Fax: (208) 847-0678
Website:
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Health care specialties

SpecialtyCodeLicense #State
Chiropractic Providers / Chiropractor 111N00000X 1106 Idaho
Chiropractic Providers / Chiropractor 111N00000X 289810-1202 Utah

Profile Details

NPI number 1013027952
LBN Legal business name Stevens, Matthew Brinton
Credentials Doctor of Chiropractic (DC)
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 30th, 2006
Last updated Jul 9th, 2007 - about 19 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 1013027952 NPPES
Idaho Other 000010155708 REGENCY BLUE SHIELD
Idaho Other 5638605 REGENCY BLUE SHIELD
Idaho Other P00271311 REGENCY BLUE SHIELD
Idaho Other C4959 REGENCY BLUE SHIELD

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