Matthew Allen Davis, D.C.
Individual provider Active NPI Chiropractor · Townshend, VT
NPI 1790796498 · NPPES record last updated May 15, 2008
Key facts
- NPI
- 1790796498
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Chiropractor 111N00000X
- License
- 006-0001150 (VT)
- Practice address
- 185 Grafton Rd.
Townshend, VT 05353 - Phone
- (802) 365-4331
- Fax
- (802) 365-7031
- NPI assigned
- Aug 10, 2006
- Sex
- Male
- Sole proprietor
- No
Organizations & group practices 2
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- Yes
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 006-0001150 | VT | MD | Chiropractor |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Woodcock Chiropractic Clinic | Past | Accepting new patients | |
| Deirdre H. Donaldson, M.D., PLC | Past |
Accepting new patients |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Chiropractor | 111N00000X | 006-0001150 | VT | Yes |
Addresses
Primary practice location
185 Grafton Rd.
Townshend, VT 05353
Mailing address
PO Box 216
Townshend, VT 05353-0216
Phone (802) 365-4331
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| OVN0834 | Medicaid | VT |
Other providers in Townshend, VT
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on May 15, 2008. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.