Healthcare Provider Details

I. General information

NPI: 1033156963
Provider Name (Legal Business Name): MATTHEW D. FINKE, DC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 05/31/2006
Last Update Date: 11/20/2007
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

7809 LAUREL AVE
CINCINNATI OH
45243-2692
US

IV. Provider business mailing address

6929 MIAMI AVE
CINCINNATI OH
45243-2632
US

V. Phone/Fax

Practice location:
  • Phone: 513-272-9200
  • Fax: 513-272-9202
Mailing address:
  • Phone: 513-272-9200
  • Fax: 513-272-9202

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code111N00000X
TaxonomyChiropractor
License Number3157
License Number StateOH

VIII. Authorized Official

Name: DR. MATTHEW D FINKE
Title or Position: OWNER
Credential:
Phone: 513-272-9200