Doepker, Matthew P

Doepker, Matthew P is an individual health care provider with primary practice located at 2300 Miami Valley Dr Ste 350 , Centerville OH 45459-1294. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Surgical Oncology, Allopathic & Osteopathic Physicians / Surgery. Allopathic & Osteopathic Physicians / Surgical Oncology is his primary health care specialty. Doepker, Matthew P can be contacted via phone (937) 424-2469.

Contact Information

Primary practice address
2300 Miami Valley Dr Ste 350 Centerville OH 45459-1294
Phone: (937) 424-2469
Fax: (937) 424-2479
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Surgical Oncology 2086X0206X 39255 South Carolina
Allopathic & Osteopathic Physicians / Surgery 208600000X 39255 South Carolina
Allopathic & Osteopathic Physicians / Surgical Oncology 2086X0206X 35.134802 Ohio

Profile Details

NPI number 1316232606
LBN Legal business name Doepker, Matthew P
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 14th, 2011
Last updated Nov 12th, 2019 - about 6 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 1316232606 NPPES
Ohio MEDICAID 0316031
Ohio Other 39255
Ohio MEDICAID 392550

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