Aagesen, Matthew Goodman
Aagesen, Matthew Goodman is an individual health care provider with primary practice located at 5757 Park Center Ct , Toledo OH 43615. He recently has only one registered license in Allopathic & Osteopathic Physicians / Diagnostic Radiology, which is considered as his primary health care specialty. Aagesen, Matthew Goodman can be contacted via phone (419) 474-4064.Contact Information
Primary practice address
5757 Park Center Ct
Toledo OH 43615
Phone: (419) 474-4064
Fax: (419) 472-2772
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Diagnostic Radiology | 2085R0202X | 35-091127 | Ohio |
Profile Details
| NPI number | 1396860391 |
|---|---|
| LBN Legal business name | Aagesen, Matthew Goodman |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Mar 20th, 2007 |
| Last updated | Aug 13th, 2020 - about 4 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1396860391 | NPPES |
| Ohio | Other | P00744125 | RR MEDICARE |
| Ohio | MEDICAID | 2959437 | RR MEDICARE |
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