Doctor Name: | DR. MATTHEW BOOTH MITCHELL |
NPI Number: | 1598828741 |
Entity Type Code: | Individual (1) |
Gender: | M |
Credentials: | D.C. |
License Number: | DC 008845 |
Business Practice Address: | 1364 Welsh Rd Suite A120 North Wales, PA - 194541913 |
Business Phone Number: | 2156282529 |
Business Fax Number: | |
Mailing Address: | 5045 Yukon Dr, EAST STROUDSBURG |
State: | PA |
Postal Code: | 183026634 |
Phone Number: | 7242556119 |
Fax Number: | |
NPI Enumeration Date: | 12/19/2006 |
NPI Last Update Date: | 08/27/2014 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 111N00000X |
License Number: | DC 008845 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | PA |
Taxonomy Type: | Chiropractic Providers |
Taxonomy Classification: | Chiropractor |
Taxonomy Specialization: | |
Taxonomy Definition: | A provider qualified by a Doctor of Chiropractic (D.C.), licensed by the State and who practices chiropractic medicine -that discipline within the healing arts which deals with the nervous system and its relationship to the spinal column and its interrelationship with other body systems. |