Chalkley Dale Matlack
Chiropractor Orthopedic Specialist
43 N 4th St
Oxford
, Pennsylvania 19363-1501
Chalkley Dale Matlack
Chiropractor Orthopedic Specialist
43 N 4th St
Oxford
, Pennsylvania 19363-1501
(610) 932-0588
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About
Features
Specialties
- Chiropractor Orthopedic Specialist
Languages spoken
- English
Location
First Address
- Chalkley Dale Matlack
- Po Box 58
- Oxford, PA
- Zip : 19363-0058
- Fax : (610) 932-0588
- Phone : (610) 932-3575
Second Address
- Chalkley Dale Matlack
- 43 N 4th St
- Oxford, PA
- Zip : 19363-1501
- Fax : (610) 932-0588
- Phone : (610) 932-3575
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| Y | 111NX0800X | Chiropractor Orthopedic Specialist | DC001384L | PA |
National Provider Identifier
| NPI | 1073537809 |
|---|---|
| Provider Name | Chalkley Dale Matlack |
| First Address | Oxford, PA 19363-0058 |
| Second Address | Oxford, PA 19363-1501 |
| Gender | M |
| NPI Entity type | Individual |
| Is Sole Proprietor | Yes |
| Is Organization Subpart | N/A |
| Enumeration Date | 26/07/2006 |
| Last Update Date | 21/04/2010 |
Additional Identifiers
| IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
|---|---|---|
| MA115821 | (05) | PA |
| T29056 | (02) | PA |
NPI Footnotes
What is the National Provider Identifier (NPI)
Provider Location Address
Provider Mailing Address
Entity Type Code
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)
What is a Subpart?
Provider Other Organization Name
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.