Johnson, Matthew S

Johnson, Matthew S is an individual health care provider with primary practice located at 550 N University Blvd Uh 290 , Indianapolis IN 46202-5253. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Diagnostic Radiology, Allopathic & Osteopathic Physicians / Vascular & Interventional Radiology. Allopathic & Osteopathic Physicians / Vascular & Interventional Radiology is his primary health care specialty. Johnson, Matthew S can be contacted via phone (317) 944-1850.

Contact Information

Primary practice address
550 N University Blvd Uh 290 Indianapolis IN 46202-5253
Phone: (317) 944-1850
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Diagnostic Radiology 2085R0202X 01042315 Indiana
Allopathic & Osteopathic Physicians / Vascular & Interventional Radiology 2085R0204X 01042315 Indiana
Allopathic & Osteopathic Physicians / Vascular & Interventional Radiology 2085R0204X 01042315A Indiana

Profile Details

NPI number 1588607451
LBN Legal business name Johnson, Matthew S
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 14th, 2006
Last updated Feb 13th, 2024 - about 10 months 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 1588607451 NPPES
Indiana Other 959090W8 MEDICARE PTAN
Indiana MEDICAID 100465380 MEDICARE PTAN
Indiana Other 300050672 MEDICARE PTAN

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