Provider Demographics
NPI:1386694578
Name:GIBBS, MATTHEW CLAIR (DC)
Entity type:Individual
Prefix:DR
First Name:MATTHEW
Middle Name:CLAIR
Last Name:GIBBS
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 1:3655 ROUTE 202
Mailing Address - Street 2:SUITE 130
Mailing Address - City:DOYLESTOWN
Mailing Address - State:PA
Mailing Address - Zip Code:18902-6601
Mailing Address - Country:US
Mailing Address - Phone:215-348-7123
Mailing Address - Fax:
Practice Address - Street 1:3655 ROUTE 202
Practice Address - Street 2:SUITE 130
Practice Address - City:DOYLESTOWN
Practice Address - State:PA
Practice Address - Zip Code:18902-6601
Practice Address - Country:US
Practice Address - Phone:215-348-7123
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2006-05-11
Last Update Date:2009-12-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PADC009551111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor