MEDICARE: DR. MATTHEW L CONFER 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	08000993A	IN

General Provider Information

NPI Number	:	1679502660
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. MATTHEW L CONFER D.C.

Provider Business Mailing Address
First Line	:	6407 CONSTITUTION DR
Second Line	:
City	:	FORT WAYNE
State	:	IN
Zip	:	46804-1549
Country	:	US
Telephone Number	:	260-459-2424
Fax Number	:

Provider Business Practice Location Address
First Line	:	6407 CONSTITUTION DR
Second Line	:
City	:	FORT WAYNE
State	:	IN
Zip	:	46804-1549
Country	:	US
Telephone Number	:	260-459-2424
Fax Number	:

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

Provider Enumeration Date	:	07/02/2006
Last Update Date	:	05/31/2013

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