Provider Demographics
NPI:1871930248
Name:BEIGLE, MATTHEW
Entity type:Individual
Prefix:
First Name:MATTHEW
Middle Name:
Last Name:BEIGLE
Suffix:
Gender:M
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:137 BUTTERNUT ST
Mailing Address - Street 2:PO BOX 193
Mailing Address - City:PINE GROVE MILLS
Mailing Address - State:PA
Mailing Address - Zip Code:16868
Mailing Address - Country:US
Mailing Address - Phone:814-502-8756
Mailing Address - Fax:
Practice Address - Street 1:137 BUTTERNUT ST
Practice Address - Street 2:
Practice Address - City:PINE GROVE MILLS
Practice Address - State:PA
Practice Address - Zip Code:16868-1686
Practice Address - Country:US
Practice Address - Phone:814-502-8756
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2013-05-25
Last Update Date:2020-01-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes171100000XOther Service ProvidersAcupuncturist