Bojrab, Matthew D
Bojrab, Matthew D is an individual health care provider with primary practice located at 10972 Allisonville Rd Suite 100, Fishers IN 46038-2637. He recently has only one registered license in Dental Providers / Oral and Maxillofacial Surgery, which is considered as his primary health care specialty. Bojrab, Matthew D can be contacted via phone (317) 845-7878.Contact Information
Primary practice address
10972 Allisonville Rd Suite 100
Fishers IN 46038-2637
Phone: (317) 845-7878
Fax: (317) 570-7193
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Dental Providers / Oral and Maxillofacial Surgery | 1223S0112X | 120107744A | Indiana |
| Dental Providers / Oral and Maxillofacial Surgery | 1223S0112X | 5633-015 | Wisconsin |
Profile Details
| NPI number | 1043308968 |
|---|---|
| LBN Legal business name | Bojrab, Matthew D |
| Credentials | D.D.S., M.S. |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Oct 10th, 2006 |
| Last updated | Aug 31st, 2012 - about 12 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 | 1043308968 | NPPES |
| Indiana | MEDICAID | 200847900 |
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