Dorian L Mattson in Ironwood - Chiropractor
Dorian L Mattson - NPI 1063618510
Dorian L Mattson is a Chiropractor in Ironwood, Michigan. Dorian L Mattson practices all healthcare services and medical treatments related to Chiropractor. The NPI Number for Dorian L Mattson is 1063618510. The last update date is 2013-09-04.
Dorian L Mattson's current location address is 520 E Ayer St, Ironwood, Michigan. You can contact this provider via phone number 9069324605 and fax number 9069324875. The mailing address for Dorian L Mattson is 520 E Ayer St, Ironwood, Michigan. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Dorian L Mattson |
|---|---|
| Address | 520 E Ayer St, Ironwood, Michigan |
| Phone Number | 9069324605 |
| Fax Number | 9069324875 |
| Sole Proprietor | Y |
| Credentials | DC |
NPI Number Detail
| NPI Number | 1063618510 |
|---|---|
| Provider Enumeration Date | 2007-06-22 |
| Last Updated Date | 2013-09-04 |
Provider Mailing Address Detail
| Address | 520 E Ayer St |
|---|---|
| City | Ironwood |
| State | Michigan (MI) |
| Post Code | 499382204 |
| Phone Number | 9069324605 |
| Fax Number | 9069324875 |
Provider's Primary Taxonomy Detail
| Speciality | Chiropractor |
|---|---|
| Taxonomy | 111N00000X |
| Licence No | 2301007489 |
|
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 |
|
Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 38934400 | WI | -- | |
| 4361323 | MA | UPHP | |
| BLUE CROSS | 950B710200 |
Post Comment/ Review Below
What is the unique identifier code issued to Dorian L Mattson by the Centers for Medicare & Medicaid Services?
The Dorian L Mattson has been assigned the NPI (National Provider Identifier) 1063618510. This 10-digit code serves as a unique identification number for healthcare providers issued by the Centers for Medicare & Medicaid Services (CMS).
Could you provide the complete address where Dorian L Mattson is physically located?
The Dorian L Mattson is situated at the following address: 520 E Ayer St, Ironwood, MI 499382204.
What is the Dorian L Mattson's area of specialization and corresponding taxonomy classification?
The Dorian L Mattson's specialty field is Chiropractor, and it falls under the taxonomy code 111N00000X, which categorizes healthcare providers based on their specialties.
On what date did the Dorian L Mattson receive the assignment of its 1063618510 from the Centers for Medicare & Medicaid Services?
The Dorian L Mattson was issued its 1063618510 by the Centers for Medicare & Medicaid Services on 2007-06-22.
When was the information regarding Dorian L Mattson, such as address, specialty, and other details, most recently verified or confirmed to be accurate?
The information pertaining to Dorian L Mattson, including its address, specialty, and other relevant details, was most recently verified or confirmed to be accurate on 2013-09-04.