MEDICARE: DR. MATTHEW ALLAN FLICK 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	DC006294L	PA

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	811682	OTHER	PA	BLUE CROSS

General Provider Information

NPI Number	:	1538119235
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. MATTHEW ALLAN FLICK D.C.

Provider Business Mailing Address
First Line	:	2016 BROWNSVILLE RD
Second Line	:
City	:	PITTSBURGH
State	:	PA
Zip	:	15210-4204
Country	:	US
Telephone Number	:	412-886-0336
Fax Number	:	412-886-0355

Provider Business Practice Location Address
First Line	:	2016 BROWNSVILLE RD
Second Line	:
City	:	PITTSBURGH
State	:	PA
Zip	:	15210-4204
Country	:	US
Telephone Number	:	412-886-0336
Fax Number	:	412-886-0355

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

Provider Enumeration Date	:	05/11/2006
Last Update Date	:	07/08/2007

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Directions to “ DR. MATTHEW ALLAN FLICK D.C.” Practice Location

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