Georgeon, Matina J

Georgeon, Matina J is an individual health care provider with primary practice located at 901 Macarthur Blvd Anesthesia Dept, Munster IN 46321-2901. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Nurse Anesthetist, Certified Registered, which is considered as her primary health care specialty. Georgeon, Matina J can be contacted via phone (219) 836-7040.

Contact Information

Primary practice address
901 Macarthur Blvd Anesthesia Dept Munster IN 46321-2901
Phone: (219) 836-7040
Fax: (219) 513-1127
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Nurse Anesthetist, Certified Registered 367500000X 28125475A Indiana

Profile Details

NPI number 1558583633
LBN Legal business name Georgeon, Matina J
Credentials Certified Registered Nurse Anesthetist (CRNA)
Entity Individual
Sole proprietor 1 No
Enumeration date May 2nd, 2007
Last updated Sep 25th, 2015 - about 9 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 1558583633 NPPES
Illinois MEDICAID 036108031
Illinois MEDICAID 200859270

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