Andersen, Matthew H

Andersen, Matthew H is an individual health care provider with primary practice located at 4630 E Indian School Rd , Phoenix AZ 85018-5416. He recently has only one registered license in Allopathic & Osteopathic Physicians / Anesthesiology, which is considered as his primary health care specialty. Andersen, Matthew H can be contacted via phone (028) 996-4446.

Contact Information

Primary practice address
4630 E Indian School Rd Phoenix AZ 85018-5416
Phone: (028) 996-4446
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Anesthesiology 207L00000X 59223 Arizona

Profile Details

NPI number 1114169307
LBN Legal business name Andersen, Matthew H
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Apr 2nd, 2009
Last updated Apr 2nd, 2024 - about 2 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1114169307 NPPES
New York MEDICAID 03604299
New York MEDICAID 589049

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