Provider Demographics
NPI:1447303102
Name:SWIESZ, MATTHEW C (DC)
Entity type:Individual
Prefix:
First Name:MATTHEW
Middle Name:C
Last Name:SWIESZ
Suffix:
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 1:320 SANDOWN RD UNIT 1
Mailing Address - Street 2:
Mailing Address - City:EAST HAMPSTEAD
Mailing Address - State:NH
Mailing Address - Zip Code:03826-5411
Mailing Address - Country:US
Mailing Address - Phone:603-329-5491
Mailing Address - Fax:603-329-5907
Practice Address - Street 1:320 SANDOWN RD UNIT 1
Practice Address - Street 2:
Practice Address - City:EAST HAMPSTEAD
Practice Address - State:NH
Practice Address - Zip Code:03826-5411
Practice Address - Country:US
Practice Address - Phone:603-329-5491
Practice Address - Fax:603-329-5907
Is Sole Proprietor?:Yes
Enumeration Date:2007-01-18
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NH589-0200111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor
Provider Identifiers
StateIdentifier IDID TypeIssuer
NH05YOO3957 NHOtherBLUE CROSS BLUE SHIELD
NH3502354OtherCIGNA
NHAA60774OtherHARVARD PILGRAM
NHP00176465OtherRAIL ROAD MEDICARE
NHAA60774OtherHARVARD PILGRAM
NHSW RE 5657Medicare ID - Type Unspecified