Carr, Matthew L

Carr, Matthew L is an individual health care provider with primary practice located at 7910 W Jefferson Blvd Ste 108 , Fort Wayne IN 46804-4159. He recently has only one registered license in Allopathic & Osteopathic Physicians / Hematology & Oncology, which is considered as his primary health care specialty. Carr, Matthew L can be contacted via phone (260) 484-8830.

Contact Information

Primary practice address
7910 W Jefferson Blvd Ste 108 Fort Wayne IN 46804-4159
Phone: (260) 484-8830
Fax: (260) 483-1911
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Hematology & Oncology 207RH0003X 01058525A Indiana

Profile Details

NPI number 1447252135
LBN Legal business name Carr, Matthew L
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 11th, 2005
Last updated Sep 30th, 2020 - about 4 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 1447252135 NPPES
Ohio MEDICAID 3045743
Ohio MEDICAID 200146680
Ohio Other 000000693566
Ohio Other 000000329268

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