Dr. Matthew Dirk Willard is a Winston Salem, North Carolina based male chiropractor who is specialized as General Chiropractor. Active license number of Dr. Matthew Dirk Willard as General Chiropractor is 3904 in North Carolina. Dr. Matthew Dirk Willard is qualified as 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 interrelationship with other body systems.
Complete Profile:
Dr. Matthew Dirk Willard speciality, credentials, practice address, contact phone number and fax are as below.
Patients can directly walk in or can call on the below given phone number for appointment.
Specialization:
Chiropractor
Credentials:
DC
Gender:
Male
Practice Address:
141 Vinegar Hill Road, Winston Salem, North Carolina, 27104
Phone:
336-448-1894
Fax:
336-448-1895
Professional Identification Codes:
NPI number stands for National Provider Identifier which is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS).
NPI details are as mentioned below.
NPI Number:
1619124286
NPI Enumeration Date:
26 Aug, 2008
NPI Last Update On:
30 Jan, 2013
Medical Licenses:
Doctors can have one or more medical licenses for different specialities in the same state or different states. Related medical licenses for Dr. Matthew Dirk Willard are as mentioned below.
License Number
Specialization
State
Status
3904
Chiropractor
North Carolina
Primary
Other Medical Identifiers:
Other legacy medical identifiers associated with Dr. Matthew Dirk Willard such as Medicaid, Medicare PIN, NSC, UPIN etc. are mentioned as below.
Identifier
Type
State
Issuer
2456085
Other
North Carolina
MEDICARE PTAN
111N00000X
Other
TAXONOMY
086CJ
Other
North Carolina
BLUE CROSS PTAN
5950449
Medicaid
North Carolina
2451497B
Other
North Carolina
MEDICARE GROUP PTAN
Business Mailing Address:
Business mailing address can be used for mailing purpose only, for visiting purpose patients need to refer above mentioned address.
Address:
141 Vinegar Hill Rd, Winston Salem, North Carolina
Zip:
27104-5069
Phone Number:
336-448-1894
Fax Number:
336-448-1895
Patients can reach Dr. Matthew Dirk Willard at 141 Vinegar Hill Road, Winston Salem, North Carolina or can call to book an appointment on 336-448-1894. Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES. Last updated on 11 March, 2024.
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