Individual
MATTHEW PAUL MARTIN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.C.
Contact information
Practice address
34940 RIDGE RD STE B, WILLOUGHBY, OH 44094-4197
(440) 527-8030
(440) 220-8280
Mailing address
34940 RIDGE RD STE B, WILLOUGHBY, OH 44094-4197
(440) 527-8030
(440) 220-8280
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
4151
OH
171100000X
Acupuncturist
4151
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1841239274
PARTNERS PHYSICIAN GROUP TYPE 2 NPI #
OH
01
—
2551671
PARTNERS PHYSICIAN GROUP MEDICAID GROUP #
OH
05
—
3157355
—
OH
01
—
9338635
PARTNERS PHYSICIAN GROUP MEDICARE GROUP #
OH
Enumeration date
01/26/2011
Last updated
10/24/2023
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