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Organization

MATTHEW C. RICH CHIROPRACTIC LLC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
DR. MATTHEW C. RICH D.C. (OWNER/DOCTOR)
(814) 765-8301
Entity
Organization

Contact information

Practice address
6247 CLEARFIELD WOODLAND HWY, CLEARFIELD, PA 16830-1004
(814) 765-8301
(814) 768-4735
Mailing address
PO BOX 647, CLEARFIELD, PA 16830-0647
(814) 765-8301
(814) 768-4735

Taxonomy

Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
DC-8651
PA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
001338711
BLUE SHIELD
PA
05
0018655500002
PA
Enumeration date
12/06/2010
Last updated
12/06/2010
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