Individual
DR. JAMES PATRICK MATCHETT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.C., ATC
Contact information
Practice address
799 N SALISBURY BLVD, SALISBURY, MD 21801-4103
(703) 298-0041
Mailing address
34 LOOKOUT POINT, BERLIN, MD 21811
(703) 298-0903
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
03838
MD
111NR0400X
Rehabilitation Chiropractor
0104002090
VA
111NR0400X
Rehabilitation Chiropractor
Primary
03838
MD
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
383782
ANTHEM PROVIDER NUMBER
VA
Enumeration date
12/04/2006
Last updated
08/30/2021
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