Healthcare Provider Details

I. General information

NPI: 1669376737
Provider Name (Legal Business Name): MATTHEW WARD CHIROPRACTIC PLLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 10/05/2026
Last Update Date: 10/05/2026
Certification Date: 10/04/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2642 MAIN ST
WHITNEY POINT NY
13862-2242
US

IV. Provider business mailing address

PO BOX 710
WHITNEY POINT NY
13862-0710
US

V. Phone/Fax

Practice location:
  • Phone: 607-692-3961
  • Fax: 607-692-2514
Mailing address:
  • Phone: 607-692-3961
  • Fax: 607-692-2514

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code111N00000X
TaxonomyChiropractor
License Number
License Number StateNULL

VIII. Authorized Official

Name: MATTHEW JAMES WARD
Title or Position: CHIROPRACTOR/OWNER
Credential: DC
Phone: 610-334-1246