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NPI Code Detail

MEDICARE: DR. MATTHEW RICHARD RIVERS D.C.

MEDICARE:  DR. MATTHEW RICHARD RIVERS  D.C.
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1111N00000XChiropractor4095OH

General Provider Information

NPI Number : 1003120049
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. MATTHEW RICHARD RIVERS D.C.
Provider Business Mailing Address
First Line : 7949 EUCLID AVE
Second Line :
City : CLEVELAND
State : OH
Zip : 44103-4226
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 7949 EUCLID AVE
Second Line :
City : CLEVELAND
State : OH
Zip : 44103-4226
Country : US
Telephone Number : 216-231-7246
Fax Number : 216-231-7243
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 08/02/2010
Last Update Date : 04/28/2015

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Directions to “ DR. MATTHEW RICHARD RIVERS D.C.” Practice Location

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