Provider Demographics
NPI:1982972741
Name:ALEXANDER, MATTHEW KURT (DC)
Entity type:Individual
Prefix:DR
First Name:MATTHEW
Middle Name:KURT
Last Name:ALEXANDER
Suffix:
Gender:M
Credentials:DC
Other - Prefix:
Other - First Name:
Other - Middle Name:
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Other - Credentials:
Mailing Address - Street 1:7950 DUBLIN BLVD
Mailing Address - Street 2:SUITE 210
Mailing Address - City:DUBLIN
Mailing Address - State:CA
Mailing Address - Zip Code:94568-2929
Mailing Address - Country:US
Mailing Address - Phone:925-875-1459
Mailing Address - Fax:925-875-1777
Practice Address - Street 1:7950 DUBLIN BLVD
Practice Address - Street 2:SUITE 210
Practice Address - City:DUBLIN
Practice Address - State:CA
Practice Address - Zip Code:94568-2929
Practice Address - Country:US
Practice Address - Phone:925-875-1459
Practice Address - Fax:925-875-1777
Is Sole Proprietor?:Yes
Enumeration Date:2011-12-08
Last Update Date:2014-06-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CADC 32135111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor