Individual
DR. JOHN J DEMATTE IV
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DC
Contact information
Practice address
1155 INTERCHANGE ROAD, LEHIGHTON, PA 18235
(610) 377-1900
(610) 377-1516
Mailing address
1155 INTERCHANGE ROAD, LEHIGHTON, PA 18235
(610) 377-1900
(610) 377-1516
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
DC006559L
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
161403001
—
PA
Enumeration date
05/16/2006
Last updated
07/08/2007
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