# MR. MATTHEW BERNARD GERMOND

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- **Entity:** Individual
- **Status:** Active
- **Sole proprietor:** Yes

## Provider details

- **NPI number:** 1437154655
- **Gender:** Man
- **Credential:** DC

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 111N00000X | Chiropractor | X009101-1 | NY | Yes |

## Other

- **Enumeration date:** 06/15/2005
- **Last updated:** 04/20/2011

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 01 | — | 10064161 | CDPHP | — |
| 01 | — | 3878490001 | NSC INDEN \# | — |
| 01 | — | 5898461 | GHI | — |
| 01 | — | 7194094 | AETNA | — |
| 01 | — | 98L1051 | LANDMARK AC | — |
| 01 | — | C09101-9 | WORKERS COMP | — |
| 01 | — | NY09101 | MVP | — |
| 01 | — | X4C66 | EMPIRE BC/BS | — |