MEDICARE: DR. MATTHEW SCHIRMER 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	3218	MA
2	111N00000X	Chiropractor	012419	NY

General Provider Information

NPI Number	:	1578723227
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. MATTHEW SCHIRMER DC

Provider Business Mailing Address
First Line	:	2480 BROWNCROFT BLVD
Second Line	:	SUITE 116
City	:	ROCHESTER
State	:	NY
Zip	:	14625-1435
Country	:	US
Telephone Number	:	585-348-8858
Fax Number	:	585-267-7538

Provider Business Practice Location Address
First Line	:	2480 BROWNCROFT BLVD
Second Line	:	SUITE 116
City	:	ROCHESTER
State	:	NY
Zip	:	14625-1435
Country	:	US
Telephone Number	:	585-348-8858
Fax Number	:	585-267-7538

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

Provider Enumeration Date	:	06/16/2008
Last Update Date	:	04/25/2016

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