Hageman, Matthew Dean

Hageman, Matthew Dean is an individual health care provider with primary practice located at 130 Lincoln Place Ct Ste 130 , Belleville IL 62221-5884. He recently has only one registered license in Allopathic & Osteopathic Physicians / Internal Medicine, which is considered as his primary health care specialty. Hageman, Matthew Dean can be contacted via phone (618) 257-1297.

Contact Information

Primary practice address
130 Lincoln Place Ct Ste 130 Belleville IL 62221-5884
Phone: (618) 257-1297
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Internal Medicine 207R00000X 036100105 Illinois

Profile Details

NPI number 1376540930
LBN Legal business name Hageman, Matthew Dean
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 28th, 2005
Last updated Feb 19th, 2021 - 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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Identifiers

StateTypeNumberIssuer
All States NPI 1376540930 NPPES
Illinois MEDICAID 036100105

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