MEDICARE: DR. MATTHEW CRITES 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	4577	OH

General Provider Information

NPI Number	:	1356715247
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. MATTHEW CRITES D.C.

Provider Business Mailing Address
First Line	:	2050 CINCINNATI DAYTON RD
Second Line	:
City	:	MIDDLETOWN
State	:	OH
Zip	:	45044-8977
Country	:	US
Telephone Number	:	513-422-7776
Fax Number	:	513-420-9075

Provider Business Practice Location Address
First Line	:	2050 CINCINNATI DAYTON RD
Second Line	:
City	:	MIDDLETOWN
State	:	OH
Zip	:	45044-8977
Country	:	US
Telephone Number	:	513-422-7776
Fax Number	:	513-420-9075

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

Provider Enumeration Date	:	11/16/2015
Last Update Date	:	12/09/2019

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