Individual
DR. MATTHEW ROBERT EATON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.C
Contact information
Practice address
8690 W PAHS RD, MICHIGAN CITY, IN 46360-7666
(219) 872-5151
(219) 872-0177
Mailing address
8690 W PAHS RD, MICHIGAN CITY, IN 46360-7666
(219) 872-5151
(219) 872-0177
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
08002127A
IN
111N00000X
Chiropractor
3742
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000506158
BC BS MICHIGAN CITY IN.
IN
Enumeration date
06/24/2005
Last updated
07/08/2007
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