Individual
DR. MATTHEW BOOTH MITCHELL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.C.
Contact information
Practice address
1364 WELSH RD, SUITE A120, NORTH WALES, PA 19454-1913
(215) 628-2529
Mailing address
5045 YUKON DR, EAST STROUDSBURG, PA 18302-6634
(724) 255-6119
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
DC 008845
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
001464172
HIGHMARK BLUE CROSS BLUE SHIEL
PA
01
—
825429
FIRST PRIORITY HEALTH
PA
Enumeration date
12/19/2006
Last updated
08/27/2014
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