Bobylev, Matvey V

Bobylev, Matvey V is an individual health care provider with primary practice located at 5165 Mccarty Ln , Lafayette IN 47905-8764. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Anesthesiology, Allopathic & Osteopathic Physicians / Pain Medicine. Allopathic & Osteopathic Physicians / Anesthesiology is his primary health care specialty. Bobylev, Matvey V can be contacted via phone (765) 448-8000.

Contact Information

Primary practice address
5165 Mccarty Ln Lafayette IN 47905-8764
Fax: (765) 448-7651
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Anesthesiology 207L00000X 35080863 Ohio
Allopathic & Osteopathic Physicians / Pain Medicine 207LP2900X 01084022A Indiana
Allopathic & Osteopathic Physicians / Anesthesiology 207L00000X 01084022A Indiana

Profile Details

NPI number 1952310559
LBN Legal business name Bobylev, Matvey V
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 5th, 2006
Last updated Mar 23rd, 2023 - 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1952310559 NPPES
Ohio MEDICAID 2675949

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