Individual
DR. MATTHEW MICHAUD
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.C.
Contact information
Practice address
1939 MAYBANK HIGHWAY, CHARLESTON, SC 29412-2170
(843) 795-1999
(843) 795-1981
Mailing address
1939 MAYBANK HIGHWAY, CHARLESTON, SC 29412-2170
(843) 795-1999
(843) 795-1981
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
04-2774205
MA
111N00000X
Chiropractor
Primary
3676
SC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
Y39905
BLUE CROSS BLUE SHIELD
MA
Enumeration date
12/29/2006
Last updated
01/11/2012
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