Matthew S Dirkse in Fruitport - Chiropractor

Matthew S Dirkse - NPI 1447280730

Matthew S Dirkse is a Chiropractor in Fruitport, Michigan. Matthew S Dirkse practices all healthcare services and medical treatments related to Chiropractor. The NPI Number for Matthew S Dirkse is 1447280730. The last update date is 2007-07-08.

Matthew S Dirkse's current location address is 3124 Jamestown Ln, Fruitport, Michigan. You can contact this provider via phone number 2312150834 and fax number 6164940212. The mailing address for Matthew S Dirkse is 3124 Jamestown Ln, Fruitport, Michigan. To know further, please read the information below!

Provider Profile Detail

Provider Name Matthew S Dirkse
Address 3124 Jamestown Ln, Fruitport, Michigan
Phone Number 2312150834
Fax Number 6164940212
Sole Proprietor Y
Credentials D.C.

NPI Number Detail

NPI Number 1447280730
Provider Enumeration Date 2006-07-03
Last Updated Date 2007-07-08

Provider Mailing Address Detail

Address 3124 Jamestown Ln
City Fruitport
State Michigan (MI)
Post Code 494159705
Phone Number 2312150834
Fax Number 6164940212

Provider's Primary Taxonomy Detail

Speciality Chiropractor
Taxonomy 111N00000X
Licence No 2301009105
Definition:
A provider qualified by a Doctor of Chiropractic (D.C.), licensed by the State and who practices chiropractic medicine -that discipline within the healing arts which deals with the nervous system and its relationship to the spinal column and its inte

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FAQs about Matthew S Dirkse

What is the Matthew S Dirkse's 1447280730?

The Matthew S Dirkse's NPI (National Provider Identifier) Number is 1447280730. This unique 10-digit identification number is assigned to health care providers by the Centers for Medicare & Medicaid Services (CMS).

Could you provide the complete physical address where Matthew S Dirkse is located?

The Matthew S Dirkse is situated at the following address: 3124 Jamestown Ln, Fruitport, MI, 494159705.

What is Matthew S Dirkse's specialized field of practice, and what is the corresponding taxonomy code that categorizes this area of expertise?

The area of specialization for Matthew S Dirkse is Chiropractor, and the taxonomy code that classifies this field of practice is 111N00000X.

On what date did the Centers for Medicare & Medicaid Services originally issue the 1447280730 to Matthew S Dirkse?

The Centers for Medicare & Medicaid Services originally issued the 1447280730 to Matthew S Dirkse on 2006-07-03.

As of what date were the details related to Matthew S Dirkse most recently updated or revised?

The information pertaining to Matthew S Dirkse, including its address, specialty, and other relevant details, was last updated or revised on 2007-07-08.

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