Individual
DR. MICHAEL PHILIP MATHES
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.C.
Contact information
Practice address
9129 DICKEY DR, MECHANICSVILLE, VA 23116-2502
(804) 746-5700
(804) 746-0500
Mailing address
9129 DICKEY DR, MECHANICSVILLE, VA 23116-2502
(804) 746-5700
(804) 746-0500
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
0104001892
VA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
171936
BC/BS
VA
01
—
C06302
BC/BS GROUP #
VA
Enumeration date
10/05/2006
Last updated
01/16/2023
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