Individual
CHRISTOPHER E MATT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DC
Contact information
Practice address
1307 W PACKARD STREET, TRI CORNER CHIROPRACTIC LLC, APPLETON, WI 54914-3428
(920) 739-4229
Mailing address
1307 W PACKARD STREET, TRI CORNER CHIROPRACTIC LLC, APPLETON, WI 54914-3428
(920) 739-4229
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
2339
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
38837600
—
WI
Enumeration date
08/30/2006
Last updated
11/19/2012
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