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NPI Code Detail

MEDICARE: SAM MATLIN DC

MEDICARE: SAM MATLIN DC
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
1111N00000XChiropractorCHR.0008858CO

General Provider Information

NPI Number : 1013744838
Entity Type Code : Individual
Provider Name (Legal Business Name) : SAM MATLIN DC
Provider Business Mailing Address
First Line : 7869 FOREST KEEP CIR
Second Line :
City : PARKER
State : CO
Zip : 80134-6412
Country : US
Telephone Number : 720-987-0369
Fax Number :
Provider Business Practice Location Address
First Line : 4617 AUSTIN BLUFFS PKWY
Second Line :
City : COLORADO SPRINGS
State : CO
Zip : 80918-2937
Country : US
Telephone Number : 720-987-0368
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 09/16/2024
Last Update Date : 03/16/2026

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