Healthcare Provider Details

I. General information

NPI: 1447303102
Provider Name (Legal Business Name): MATTHEW C SWIESZ DC
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 01/18/2007
Last Update Date: 07/08/2007
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

320 SANDOWN RD UNIT 1
EAST HAMPSTEAD NH
03826-5411
US

IV. Provider business mailing address

320 SANDOWN RD UNIT 1
EAST HAMPSTEAD NH
03826-5411
US

V. Phone/Fax

Practice location:
  • Phone: 603-329-5491
  • Fax: 603-329-5907
Mailing address:
  • Phone: 603-329-5491
  • Fax: 603-329-5907

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code111N00000X
TaxonomyChiropractor
License Number589-0200
License Number StateNH

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: