Provider Demographics
NPI:1730115460
Name:GUY, MATTHEW C JR (DC)
Entity type:Individual
Prefix:DR
First Name:MATTHEW
Middle Name:C
Last Name:GUY
Suffix:JR
Gender:M
Credentials:DC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:21 A ST
Mailing Address - Street 2:
Mailing Address - City:BURLINGTON
Mailing Address - State:MA
Mailing Address - Zip Code:01803-3404
Mailing Address - Country:US
Mailing Address - Phone:781-229-9505
Mailing Address - Fax:
Practice Address - Street 1:21 A ST
Practice Address - Street 2:
Practice Address - City:BURLINGTON
Practice Address - State:MA
Practice Address - Zip Code:01803-3404
Practice Address - Country:US
Practice Address - Phone:781-229-9505
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2006-06-24
Last Update Date:2016-08-31
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MAMA1440111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor
Provider Identifiers
StateIdentifier IDID TypeIssuer
MA35572OtherHARVARD PILGRIM HEALTH
MA715531OtherTUFTS
MAGU Y36010OtherBLUE CROSS BLUE SHIELD
MA2691674OtherAETNA
MA2691674OtherAETNA
MAGU Y36010OtherBLUE CROSS BLUE SHIELD