Provider Demographics
NPI:1134584931
Name:STRICKLAND, MATTHEW (ND)
Entity type:Individual
Prefix:DR
First Name:MATTHEW
Middle Name:
Last Name:STRICKLAND
Suffix:
Gender:M
Credentials:ND
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2246 MECKLENBURG AVE
Mailing Address - Street 2:
Mailing Address - City:CHARLOTTE
Mailing Address - State:NC
Mailing Address - Zip Code:28205-3145
Mailing Address - Country:US
Mailing Address - Phone:919-593-3543
Mailing Address - Fax:
Practice Address - Street 1:2246 MECKLENBURG AVE
Practice Address - Street 2:
Practice Address - City:CHARLOTTE
Practice Address - State:NC
Practice Address - Zip Code:28205-3145
Practice Address - Country:US
Practice Address - Phone:919-593-3543
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2015-12-21
Last Update Date:2015-12-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WANT60606974175F00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes175F00000XOther Service ProvidersNaturopath