Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 111N00000X | Chiropractor | CH11653 | FL |
NPI | 1003289513 |
---|---|
Provider Name | Dr. Matthew Edward Mccabe I |
First Address | Albany, NY 12205-2309 |
Second Address | Fort Myers, FL 33966-6406 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 05/11/2015 |
Last Update Date | 05/11/2015 |