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:
Health care specialties
Specialty | Code | License # | 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 last year |
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 | 1114169307 | NPPES |
New York | MEDICAID | 03604299 | |
New York | MEDICAID | 589049 |
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