MEDICARE: MATTHEW C SWIESZ DC

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	589-0200	NH

Medicare Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
4	P00176465	OTHER	NH	RAIL ROAD MEDICARE

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	05YOO3957 NH	OTHER	NH	BLUE CROSS BLUE SHIELD
2	3502354	OTHER	NH	CIGNA
3	AA60774	OTHER	NH	HARVARD PILGRAM

General Provider Information

NPI Number	:	1447303102
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MATTHEW C SWIESZ DC

Provider Business Mailing Address
First Line	:	320 SANDOWN RD UNIT 1
Second Line	:
City	:	EAST HAMPSTEAD
State	:	NH
Zip	:	03826-5411
Country	:	US
Telephone Number	:	603-329-5491
Fax Number	:	603-329-5907

Provider Business Practice Location Address
First Line	:	320 SANDOWN RD UNIT 1
Second Line	:
City	:	EAST HAMPSTEAD
State	:	NH
Zip	:	03826-5411
Country	:	US
Telephone Number	:	603-329-5491
Fax Number	:	603-329-5907

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	01/18/2007
Last Update Date	:	07/08/2007

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Directions to “ MATTHEW C SWIESZ DC” Practice Location

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