Individual
MATT A AULT
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.C.
Contact information
Practice address
930 9TH AVE, MIDDLETOWN, OH 45044-5530
(513) 454-1111
Mailing address
PO BOX 837, FAIRFIELD TOWNSHIP, OH 45011-5390
(513) 454-1111
(513) 887-7512
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
3195
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0903688
—
OH
Enumeration date
03/27/2006
Last updated
01/13/2025
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