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Individual
DR. MATTHEW ALTON MISHIO
Active
Individual
DR. MATTHEW ALTON MISHIO
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.C.
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
11641
TX
111N00000X
Chiropractor
38MC00626100
NJ
111N00000X
Chiropractor
DC-007938-L
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
MI-906445
BC/BS NUMBER
PA
Enumeration date
06/01/2005
Last updated
04/11/2011
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