Provider Demographics
NPI:1285906933
Name:SLEEMAN, MATTHEW G (DC)
Entity type:Individual
Prefix:
First Name:MATTHEW
Middle Name:G
Last Name:SLEEMAN
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 1:365 E LOMOND VIEW DR
Mailing Address - Street 2:SUITE 201
Mailing Address - City:NORTH OGDEN
Mailing Address - State:UT
Mailing Address - Zip Code:84414-2269
Mailing Address - Country:US
Mailing Address - Phone:435-225-0992
Mailing Address - Fax:
Practice Address - Street 1:365 E LOMOND VIEW DR
Practice Address - Street 2:SUITE 201
Practice Address - City:NORTH OGDEN
Practice Address - State:UT
Practice Address - Zip Code:84414-2269
Practice Address - Country:US
Practice Address - Phone:435-225-0992
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2012-01-27
Last Update Date:2012-01-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
UT8185843-1202111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor