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General NPI Number Information
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NPI Number | 1598733446
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Entity Type | Individual
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Provider Name | MATTHEW RYAN FOELL II DC
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Gender | Male
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Dates
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Enumeration Date | 03/08/2006
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Last Update Date | 06/18/2008
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Provider Practice Location Address
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Address Line | 304 E 4TH AVE
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City | MILBANK
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State | SD
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Zip | 57252-2545
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Country | US
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Telephone | 605-432-6418
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Fax | 605-432-6418
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Provider Business Mailing Address
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Address Line | 304 E 4TH AVE
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City | MILBANK
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State | SD
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Zip | 57252-2545
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Country | US
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Telephone | 605-432-6418
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Fax | 605-432-6418
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 111N00000X
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Taxonomy Name | Chiropractor
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License Number | 1018
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License Number State | SD
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Taxonomy #2
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Taxonomy Code | 111N00000X
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Taxonomy Name | Chiropractor
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License Number | 4067
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License Number State | MN
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