Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 111N00000X | Chiropractor | DC009088 | PA |
N | 111NS0005X | Chiropractic Sports Physician | DC009088 | PA |
NPI | 1346210390 |
---|---|
Provider Name | Dr. Steven A. Mathews I |
First Address | West Chester, PA 19382-7979 |
Second Address | West Chester, PA 19382 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 24/01/2006 |
Last Update Date | 28/08/2018 |