Provider Demographics
NPI:1871599191
Name:KARCHER, MATTHEW WAYNE (DC)
Entity type:Individual
Prefix:DR
First Name:MATTHEW
Middle Name:WAYNE
Last Name:KARCHER
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 1:9612 VALENCIA CV
Mailing Address - Street 2:
Mailing Address - City:BRADENTON
Mailing Address - State:FL
Mailing Address - Zip Code:34210-1433
Mailing Address - Country:US
Mailing Address - Phone:407-865-1755
Mailing Address - Fax:
Practice Address - Street 1:9612 VALENCIA CV
Practice Address - Street 2:
Practice Address - City:BRADENTON
Practice Address - State:FL
Practice Address - Zip Code:34210-1433
Practice Address - Country:US
Practice Address - Phone:407-865-1755
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2005-06-22
Last Update Date:2021-05-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX8900111N00000X
FLCH100034111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor
Provider Identifiers
StateIdentifier IDID TypeIssuer
FL220BQOtherBCBS FL
TX1538340 01Medicaid
TX350053335OtherMEDICARE RAILROAD
FL002675400Medicaid
TX606260OtherBCBS OF TEXAS
TX350053335OtherMEDICARE RAILROAD
TX1538340 01Medicaid
TX609532Medicare ID - Type Unspecified