MEDICARE: MATOSHKO CHIROPRACTIC CLINIC LLC

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
1	111N00000X	Chiropractor

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
2	1689781023	OTHER	MI	NPI

General Provider Information

NPI Number	:	1114689841
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	MATOSHKO CHIROPRACTIC CLINIC LLC

Provider Business Mailing Address
First Line	:	5754 15 MILE RD
Second Line	:
City	:	STERLING HEIGHTS
State	:	MI
Zip	:	48310-5777
Country	:	US
Telephone Number	:	586-795-8989
Fax Number	:	586-999-5989

Provider Business Practice Location Address
First Line	:	5754 15 MILE RD
Second Line	:
City	:	STERLING HEIGHTS
State	:	MI
Zip	:	48310-5777
Country	:	US
Telephone Number	:	586-795-8989
Fax Number	:

Authorized Official
Title or Position	:	PRACTICE MANAGER
Name	:	MS. LORI A MATOSHKO
Credential	:
Telephone Number	:	586-795-8989

Provider Enumeration Date	:	10/11/2021
Last Update Date	:	05/27/2022

Similar Medicare Providers

1689781023 — DR. JEFFREY SCOTT MATOSHKO DC
Practice Location Address:

5754 15 MILE RD
STERLING HEIGHTS, MI
48310-5777

Practice Phone: 586-795-8989
Practice Fax: 586-999-5989

1194706119 — MR. MICHAEL JOSEPH TRAVAGLIANTE ATC, LPTA
Practice Location Address:

4480 RICHMOND RD
WARRENSVILLE HEIGHTS, OH
44128-5777

Practice Phone: 216-595-2880
Practice Fax: 216-595-2879

1588210900 — NICOLE HEGEMAN PT, DPT
Practice Location Address:

4480 RICHMOND RD
WARRENSVILLE HEIGHTS, OH
44128-5777

Practice Phone: 216-765-2830
Practice Fax:

1679425805 — STEFANIE ROTH
Practice Location Address:

4480 RICHMOND RD
WARRENSVILLE HEIGHTS, OH
44128-5777

Practice Phone: 216-765-2830
Practice Fax:

1639022775 — NEBOJSA MRKAJIC
Practice Location Address:

4480 RICHMOND RD
WARRENSVILLE HEIGHTS, OH
44128-5777

Practice Phone: 216-765-2830
Practice Fax: 216-765-2835

1598692501 — DANIELLE BESS
Practice Location Address:

34475 MOUND RD
STERLING HEIGHTS, MI
48310-5761

Practice Phone: 844-263-1613
Practice Fax:

Directions to “MATOSHKO CHIROPRACTIC CLINIC LLC ” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.