Flora, Matthew

Flora, Matthew is an individual health care provider with primary practice located at 2600 Ferry St , Lafayette IN 47904-3055. He recently has only one registered license in Technologists, Technicians & Other Technical Service Providers / Surgical Technologist, which is considered as his primary health care specialty. Flora, Matthew can be contacted via phone (765) 448-8000.

Contact Information

Primary practice address
2600 Ferry St Lafayette IN 47904-3055
Phone: (765) 448-8000
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Technologists, Technicians & Other Technical Service Providers / Surgical Technologist 246ZS0410X CERT# 94917 Indiana

Profile Details

NPI number 1760653802
LBN Legal business name Flora, Matthew
Credentials Certified Surgical Technologist (CST)
Entity Individual
Sole proprietor 1 No
Enumeration date Mar 17th, 2008
Last updated Apr 8th, 2008 - about 16 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 1760653802 NPPES
Indiana Other 000000556837 ANTHEM PROVIDER NUMBER

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