Organization
MATHES FAMILY CHIROPRACTIC, P.C.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. MICHAEL PHILIP MATHES D.C. (PRESIDENT)
(804) 746-5700
Entity
Organization
Contact information
Practice address
9129 DICKEY DR, MECHANICSVILLE, VA 23116-2502
(804) 746-5700
Mailing address
9129 DICKEY DR, MECHANICSVILLE, VA 23116-2502
(804) 746-5700
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
0104001892
VA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
171935
BC BS GROUP NUMBER
VA
Enumeration date
01/30/2007
Last updated
01/13/2010
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