National Provider Identifier
Matthew Ross Coburn, D.C.
Matthew Ross Coburn, D.C. is listed in the NPPES registry with a primary specialty of Chiropractor in Tonawanda, NY and a listed phone number of (716) 835-5000.
Profile Overview
- NPI
- 1174694301
- Provider Type
- Individual
- Primary Specialty
- Chiropractor
- Enumeration Date
- November 10, 2006
- Last Updated
- July 08, 2007
Practice Location
- 1914 Colvin Blvd
- Tonawanda, NY 14150-6973
Phone: (716) 835-5000
Specialties
- Chiropractor (111N00000X)
Full Record
- NPI
- 1174694301
- Entity Type
- Individual
- Last Name
- Coburn
- First Name
- Matthew
- Middle Name
- Ross
- Name Prefix
- Dr.
- Credential
- D.C.
- Mailing Street Address
- 1914 Colvin Blvd
- Mailing City
- Tonawanda
- Mailing State
- NY
- Mailing ZIP Code
- 14150-6973
- Mailing Country
- US
- Mailing Phone
- (716) 835-5000
- Mailing Fax
- (716) 832-4492
- Practice Street Address
- 1914 Colvin Blvd
- Practice City
- Tonawanda
- Practice State
- NY
- Practice ZIP Code
- 14150-6973
- Practice Country
- US
- Practice Phone
- (716) 835-5000
- Practice Fax
- (716) 832-4492
- Enumeration Date
- November 10, 2006
- Last Updated
- July 08, 2007
- Sex
- Male
- Sole Proprietor
- Yes
- updated_by_file
- npidata_pfile_20050523-20260308.csv
- Taxonomies
- Chiropractor (111N00000X)