Carpenter, Matthew Trent

Carpenter, Matthew Trent is an individual health care provider with primary practice located at 221 Ne Glen Oak Ave Department Of Radiation Oncology, Peoria IL 61636-0001. He recently has only one registered license in Allopathic & Osteopathic Physicians / Radiation Oncology, which is considered as his primary health care specialty. Carpenter, Matthew Trent can be contacted via phone (309) 672-5700.

Contact Information

Primary practice address
221 Ne Glen Oak Ave Department Of Radiation Oncology Peoria IL 61636-0001
Phone: (309) 672-5700
Fax: (309) 671-2774
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Radiation Oncology 2085R0001X M2918 Texas
Allopathic & Osteopathic Physicians / Radiation Oncology 2085R0001X 036.126216 Illinois

Profile Details

NPI number 1043298334
LBN Legal business name Carpenter, Matthew Trent
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jan 6th, 2006
Last updated Sep 2nd, 2020 - about 5 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 1043298334 NPPES
Texas MEDICAID 202746801

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