Provider Demographics
NPI:1144468489
Name:MATTHEW, MELISSA GOEHMAN (DC)
Entity type:Individual
Prefix:DR
First Name:MELISSA
Middle Name:GOEHMAN
Last Name:MATTHEW
Suffix:
Gender:F
Credentials:DC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:7400 E ARAPAHOE RD
Mailing Address - Street 2:SUITE 150
Mailing Address - City:CENTENNIAL
Mailing Address - State:CO
Mailing Address - Zip Code:80112-1279
Mailing Address - Country:US
Mailing Address - Phone:303-903-2232
Mailing Address - Fax:
Practice Address - Street 1:7400 E. ARAPAHOE RD
Practice Address - Street 2:#150
Practice Address - City:CENTENNIAL
Practice Address - State:CO
Practice Address - Zip Code:80112
Practice Address - Country:US
Practice Address - Phone:303-903-2232
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2009-01-23
Last Update Date:2017-01-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CO5196111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor