Dr. Matthew Thomas McCormack, D.C.
Chiropractor in San Jose, CA. Individual provider (NPI-1).
NPI number1972995413
StatusActive
Last updated in NPPESMay 26, 2016
Details
- NPI
- 1972995413
- Entity type
- Individual (NPI-1)
- Name
- Dr. Matthew Thomas McCormack
- Credential
- D.C.
- Sex
- Male
- Sole proprietor
- No
- Enumeration date
- Feb 20, 2015
- Last updated
- May 26, 2016
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 111N00000X | Chiropractor | 33171 | CA | Yes |
Practice location
130 Descanso Dr#152
San Jose, CA 95134-1890
Phone 805-345-0895
Mailing address
130 Descanso Dr#152
San Jose, CA 95134-1890
Phone 805-345-0895
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