Individual
MATTHEW J HERRIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.C.
Contact information
Practice address
2900 FRANK SCOTT PKWY W, STE 908, BELLEVILLE, IL 62223-5000
(618) 236-3600
Mailing address
2900 FRANK SCOTT PKWY W, STE 908, BELLEVILLE, IL 62223-5000
(618) 236-3600
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
—
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
08232178
BLUE CROSS BLUE SHIELD
IL
01
—
733439
HEALTHINK PROVIDER NUMBER
IL
Enumeration date
03/29/2007
Last updated
07/08/2007
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