Hearn, Matthew William

Hearn, Matthew William is an individual health care provider with primary practice located at 2005 Roosevelt Rd Suite B, Valparaiso IN 46383-2746. He recently has only one registered license in Dental Providers / Oral and Maxillofacial Surgery, which is considered as his primary health care specialty. Hearn, Matthew William can be contacted via phone (219) 531-9293.

Contact Information

Primary practice address
2005 Roosevelt Rd Suite B Valparaiso IN 46383-2746
Phone: (219) 531-9293
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Dental Providers / Oral and Maxillofacial Surgery 1223S0112X 01060238E Indiana
Dental Providers / Oral and Maxillofacial Surgery 1223S0112X 01060238A Indiana

Profile Details

NPI number 1609970979
LBN Legal business name Hearn, Matthew William
Credentials DDS MD
Entity Individual
Sole proprietor 1 No
Enumeration date Sep 8th, 2006
Last updated Dec 16th, 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 1609970979 NPPES
Indiana MEDICAID 200511950

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