MEDICARE: DR. MATTHEW J. GERMINI 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	2938	NC

Medicare Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
4	48052	OTHER	NC	PARTNERS/MEDICARE CHOICE

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	085FH	OTHER	NC	BLUE CROSS/ BLUE SHIELDNC
2	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
3	9212188	OTHER	NC	PHCS
5	7710285	OTHER	NC	AETNA

General Provider Information

NPI Number	:	1053310334
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. MATTHEW J. GERMINI D.C.

Provider Business Mailing Address
First Line	:	101 RAINS ST
Second Line	:
City	:	KING
State	:	NC
Zip	:	27021-7854
Country	:	US
Telephone Number	:	336-985-3500
Fax Number	:	877-641-6249

Provider Business Practice Location Address
First Line	:	101 RAINS ST
Second Line	:
City	:	KING
State	:	NC
Zip	:	27021-7854
Country	:	US
Telephone Number	:	336-985-3500
Fax Number	:	877-641-6249

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

Provider Enumeration Date	:	07/19/2005
Last Update Date	:	03/17/2018

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