Provider Demographics
NPI:1487075859
Name:BEYERS FAMILY CHIROPRACTIC, LTD.
Entity type:Organization
Organization Name:BEYERS FAMILY CHIROPRACTIC, LTD.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:MATTHEW
Authorized Official - Middle Name:T
Authorized Official - Last Name:BEYERS
Authorized Official - Suffix:
Authorized Official - Credentials:DC
Authorized Official - Phone:217-774-5313
Mailing Address - Street 1:1117 W NORTH 1ST ST
Mailing Address - Street 2:
Mailing Address - City:SHELBYVILLE
Mailing Address - State:IL
Mailing Address - Zip Code:62565-1209
Mailing Address - Country:US
Mailing Address - Phone:217-774-5313
Mailing Address - Fax:217-774-5314
Practice Address - Street 1:1117 W NORTH 1ST ST
Practice Address - Street 2:
Practice Address - City:SHELBYVILLE
Practice Address - State:IL
Practice Address - Zip Code:62565-1209
Practice Address - Country:US
Practice Address - Phone:217-774-5313
Practice Address - Fax:217-774-5314
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2014-01-02
Last Update Date:2014-01-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes111N00000XChiropractic ProvidersChiropractorGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
IL213161OtherMEDICARE PTAN