Matthew Logan Gill (NPI# 1104384288, PAC ID# 9537402631) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is CHIROPRACTIC.
| Nation Provider ID (NPI) | 1104384288 |
| PAC ID by PECOS | 9537402631 |
| Professional Enrollment ID | I20190513000785 |
| Full Name | Matthew Logan Gill |
| Organization Legal Name | OSBORNE CHIROPRACTIC CLINIC LL PA |
| Address |
258 Southtown Cir Rolesville NC 27571-9593 |
| Phone Number | 9195690199 |
| Gender | M |
| Medical School | PALMER COLLEGE CHIROPRACTIC - DAVENPORT |
| Graduation Year | 2019 |
| Primary Specialty | CHIROPRACTIC |
| Group Practice PAC ID | 0042315780 |
| Number of Group Practice Members | 2 |
| Accepts Medicare Assignment | Y |
| Address | Phone | Organization |
|---|---|---|
| 258 Southtown Cir, Rolesville, NC 27571-9593 | 9195690199 | OSBORNE CHIROPRACTIC CLINIC LL PA |
| Organization Legal Name | OSBORNE CHIROPRACTIC CLINIC LL PA |
| Physicians | 2 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Matthew B Osborne | Chiropractic | Osborne Chiropractic Clinic Ll Pa | 258 Southtown Cir, Rolesville, NC 27571-9593 |
| Street Address |
258 SOUTHTOWN CIR |
| City | ROLESVILLE |
| State | NC |
| Zip | 27571-9593 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Matthew B Osborne | Chiropractic | Osborne Chiropractic Clinic Ll Pa | 258 Southtown Cir, Rolesville, NC 27571-9593 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Stephen J Merckle | Optometry | 220 Southtown Circle, Rolesville, NC 27571-9593 | |
| David Dickman | Ophthalmology | 310 S Main St, Rolesville, NC 27571-9661 |
| City | ROLESVILLE |
| Zip Code | 27571 |
| Specialty | CHIROPRACTIC |
| City + Specialty | ROLESVILLE + CHIROPRACTIC |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS) |
| Jurisdiction | Medicare |
This dataset includes 1.12 million groups, individual physicians, and other clinicians currently enrolled in Medicare. Each physician is registered with NPI, PAC ID, full name, specialty, phone, organization, hospital, address, medical school, etc.