Provider Demographics
NPI:1447925730
Name:NARVID, MICHAEL MATTHEW (DC)
Entity type:Individual
Prefix:DR
First Name:MICHAEL
Middle Name:MATTHEW
Last Name:NARVID
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 1:450 CRAFTON CIR APT 208
Mailing Address - Street 2:
Mailing Address - City:CHARLOTTESVILLE
Mailing Address - State:VA
Mailing Address - Zip Code:22911-8521
Mailing Address - Country:US
Mailing Address - Phone:570-690-9313
Mailing Address - Fax:
Practice Address - Street 1:2109 INDIA RD
Practice Address - Street 2:
Practice Address - City:CHARLOTTESVILLE
Practice Address - State:VA
Practice Address - Zip Code:22901-2886
Practice Address - Country:US
Practice Address - Phone:434-978-4888
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2021-08-10
Last Update Date:2021-08-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
VA0104-557752111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor