Provider Demographics
NPI:1154560886
Name:HASSEY, MATTHEW W
Entity type:Individual
Prefix:DR
First Name:MATTHEW
Middle Name:W
Last Name:HASSEY
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 1:1200 SUNCAST LN
Mailing Address - Street 2:2
Mailing Address - City:EL DORADO HILLS
Mailing Address - State:CA
Mailing Address - Zip Code:95762-9664
Mailing Address - Country:US
Mailing Address - Phone:916-626-4300
Mailing Address - Fax:866-954-5125
Practice Address - Street 1:1200 SUNCAST LN
Practice Address - Street 2:2
Practice Address - City:EL DORADO HILLS
Practice Address - State:CA
Practice Address - Zip Code:95762-9664
Practice Address - Country:US
Practice Address - Phone:916-626-4300
Practice Address - Fax:866-954-5125
Is Sole Proprietor?:No
Enumeration Date:2009-02-19
Last Update Date:2009-02-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA31103111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor