=====================================================
General NPI Number Information
=====================================================
NPI Number | 1033156963
-----------------------------------------------------
Entity Type | Organization
-----------------------------------------------------
Legal Business Name | MATTHEW D. FINKE, DC
-----------------------------------------------------
=====================================================
Dates
=====================================================
Enumeration Date | 05/31/2006
-----------------------------------------------------
Last Update Date | 11/20/2007
-----------------------------------------------------
=====================================================
Provider Practice Location Address
=====================================================
Address Line | 7809 LAUREL AVE
-----------------------------------------------------
City | CINCINNATI
-----------------------------------------------------
State | OH
-----------------------------------------------------
Zip | 45243-2692
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 513-272-9200
-----------------------------------------------------
Fax | 513-272-9202
-----------------------------------------------------
=====================================================
Provider Business Mailing Address
=====================================================
Address Line | 6929 MIAMI AVE
-----------------------------------------------------
City | CINCINNATI
-----------------------------------------------------
State | OH
-----------------------------------------------------
Zip | 45243-2632
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 513-272-9200
-----------------------------------------------------
Fax | 513-272-9202
-----------------------------------------------------
=====================================================
Authorized Official
=====================================================
Title or Position | OWNER
-----------------------------------------------------
Name | DR. MATTHEW D FINKE
-----------------------------------------------------
Credential |
-----------------------------------------------------
Telephone | 513-272-9200
-----------------------------------------------------
=====================================================
Scope of Practice (Provider's specialty)
=====================================================
Taxonomy #1
-----------------------------------------------------
Taxonomy Code | 111N00000X
-----------------------------------------------------
Taxonomy Name | Chiropractor
-----------------------------------------------------
License Number | 3157
-----------------------------------------------------
License Number State | OH
-----------------------------------------------------