Matthew Maley
Individual provider Active NPI Chiropractor · Bellville, OH
NPI 1043750409 · NPPES record last updated Jul 26, 2022
Key facts
- NPI
- 1043750409
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Chiropractor 111N00000X
- License
- DC-04895 (OH)
- Practice address
- 110 Main St
Bellville, OH 44813-1021 - Phone
- (419) 719-8220
- NPI assigned
- Mar 6, 2017
- Sex
- Male
- Sole proprietor
- Yes
Organizations & group practices 2
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in OH
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20191120001558 | OH | Practitioner - Chiropractic | 6507141637 | Reassigns benefits to 1 organization |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| DC-04895 | OH | MD | Chiropractor |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Laura V Skaates DC Inc | Chiropractor | Current |
Accepting new patients |
| Hometown Chiropractic LLC | Chiropractor | Current |
Accepting new patients |
Locations
110 Main St
Bellville, OH 44813
Phone (419) 719-8220
675 Cooper Rd
Westerville, OH 43081
Phone (614) 892-2225
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Chiropractor | 111N00000X | DC-04895 | OH | Yes |
Addresses
Primary practice location
110 Main St
Bellville, OH 44813-1021
Mailing address
110 Main St
Bellville, OH 44813-1021
Phone (419) 719-8220
Other practice location 1
675 Cooper Rd
Westerville, OH 43081-8962
Phone (614) 895-2225
Other practice location 2
413 Maple St
Munising, MI 49862-1088
Phone (906) 387-2447
Other providers in Bellville, OH
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jul 26, 2022. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.