MEDICARE: DR. MATTHEW CHARLES FERRIS D.C.

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	111N00000X	Chiropractor	08002167A	IN

General Provider Information

NPI Number	:	1003842923
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. MATTHEW CHARLES FERRIS D.C.

Provider Business Mailing Address
First Line	:	7465 E 82ND ST
Second Line	:
City	:	INDIANAPOLIS
State	:	IN
Zip	:	46256-1459
Country	:	US
Telephone Number	:	317-774-2998
Fax Number	:	844-219-1950

Provider Business Practice Location Address
First Line	:	7465 E 82ND ST
Second Line	:
City	:	INDIANAPOLIS
State	:	IN
Zip	:	46256-1459
Country	:	US
Telephone Number	:	317-774-2998
Fax Number	:	844-219-1950

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	06/23/2006
Last Update Date	:	12/15/2021

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