Healthcare Provider Details

I. General information

NPI: 1891870648
Provider Name (Legal Business Name): MATTHEW E. BOYER D.C.
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 10/26/2006
Last Update Date: 07/08/2007
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

217 POINT TOWNSHIP DR.
NORTHUMBERLAND PA
17857
US

IV. Provider business mailing address

217 POINT TOWNSHIP DR.
NORTHUMBERLAND PA
17857
US

V. Phone/Fax

Practice location:
  • Phone: 570-473-3585
  • Fax: 570-473-7503
Mailing address:
  • Phone: 570-473-3585
  • Fax: 570-473-7503

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code111N00000X
TaxonomyChiropractor
License NumberDC009677
License Number StatePA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: