Provider Demographics
NPI:1437024965
Name:SWEIGART, MATTHEW (CI)
Entity type:Individual
Prefix:
First Name:MATTHEW
Middle Name:
Last Name:SWEIGART
Suffix:
Gender:M
Credentials:CI
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:419 BROAD ST STE D
Mailing Address - Street 2:
Mailing Address - City:NEVADA CITY
Mailing Address - State:CA
Mailing Address - Zip Code:95959-2451
Mailing Address - Country:US
Mailing Address - Phone:530-870-3482
Mailing Address - Fax:530-264-7245
Practice Address - Street 1:419 BROAD ST STE D
Practice Address - Street 2:
Practice Address - City:NEVADA CITY
Practice Address - State:CA
Practice Address - Zip Code:95959-2451
Practice Address - Country:US
Practice Address - Phone:530-870-3482
Practice Address - Fax:530-264-7245
Is Sole Proprietor?:Yes
Enumeration Date:2025-10-06
Last Update Date:2025-10-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA171400000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes171400000XOther Service ProvidersHealth & Wellness CoachGroup - Single Specialty