MEDICARE: DR. MATTHEW CHAD MCINTYRE 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
1	111N00000X	Chiropractor	3947	NC
2	111N00000X	Chiropractor	2009000025	MO

General Provider Information

NPI Number	:	1447494836
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. MATTHEW CHAD MCINTYRE D.C.

Provider Business Mailing Address
First Line	:	2550 W ARROWOOD RD
Second Line	:
City	:	CHARLOTTE
State	:	NC
Zip	:	28273-6651
Country	:	US
Telephone Number	:	704-588-5560
Fax Number	:	704-588-4919

Provider Business Practice Location Address
First Line	:	2550 W ARROWOOD RD
Second Line	:
City	:	CHARLOTTE
State	:	NC
Zip	:	28273-6651
Country	:	US
Telephone Number	:	704-588-5560
Fax Number	:	704-588-4919

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

Provider Enumeration Date	:	04/29/2009
Last Update Date	:	04/29/2009

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