Fornefeld, Matthew Michael

Fornefeld, Matthew Michael is an individual health care provider with primary practice located at 481 S Landmark Ave , Bloomington IN 47403-5005. He recently has only one registered license in Allopathic & Osteopathic Physicians / Ophthalmology, which is considered as his primary health care specialty. Fornefeld, Matthew Michael can be contacted via phone (812) 331-8181.

Contact Information

Primary practice address
481 S Landmark Ave Bloomington IN 47403-5005
Fax: (812) 331-8180
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Ophthalmology 207W00000X IN01034586 Indiana

Profile Details

NPI number 1881676807
LBN Legal business name Fornefeld, Matthew Michael
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Nov 16th, 2005
Last updated Dec 19th, 2022 - about 3 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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