Individual
DR. MANUEL MATEUS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.C.
Contact information
Practice address
309 W MILLBROOK RD STE 199, RALEIGH, NC 27609-4394
(919) 788-8881
(919) 788-8818
Mailing address
309 W MILLBROOK RD STE 199, RALEIGH, NC 27609-4394
(919) 788-8881
(919) 788-8818
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
3833
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0201U
BCBS GROUP
NC
01
—
0859N
BCBS
NC
01
—
1316086366
GROUP NPI
NC
01
—
2346483
MEDICARE GROUP
NC
05
—
509255
—
NC
01
—
562092690
TAX ID
NC
01
—
790201U
MEDICAID GROUP
NC
Enumeration date
03/04/2008
Last updated
01/22/2009
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