Individual
MR. MATTHEW EARL LABERTEW
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DC
Contact information
Practice address
825 NEW YORK DR STE 1, VANDALIA, IL 62471-1044
(618) 283-2230
(618) 283-1868
Mailing address
825 NEW YORK DR STE 1, VANDALIA, IL 62471-1044
(618) 283-2230
(618) 283-1868
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
038008755
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
038008755
—
IL
01
—
416040
HEALTHLINK
IL
01
—
6025820
BCBS
IL
01
—
7815199
AETNA
IL
Enumeration date
06/27/2006
Last updated
12/12/2007
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