Individual
DR. MATTHEW STEPHEN BOLAND
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.C.
Contact information
Practice address
915 NORTH MOUNTAIN RD, SUITE C, HARRISBURG, PA 17112
(717) 652-5550
(717) 652-2488
Mailing address
915 NORTH MOUNTAIN RD, SUITE C, HARRISBURG, PA 17112
(717) 652-5550
(717) 652-2488
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
003322-L
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
4539759
AETNA
PA
01
—
5712090001
MEDICARE/DME
PA
Enumeration date
11/14/2006
Last updated
07/28/2008
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