Krasin, Matthew J

Krasin, Matthew J is an individual health care provider with primary practice located at 262 Danny Thomas Pl , Memphis TN 38105-3678. He recently has only one registered license in Allopathic & Osteopathic Physicians / Radiation Oncology, which is considered as his primary health care specialty. Krasin, Matthew J can be contacted via phone (901) 595-3006.

Contact Information

Primary practice address
262 Danny Thomas Pl Memphis TN 38105-3678
Fax: (901) 595-3842
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Radiation Oncology 2085R0001X 34077 Tennessee

Profile Details

NPI number 1972506046
LBN Legal business name Krasin, Matthew J
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date May 23rd, 2005
Last updated Sep 28th, 2012 - about 12 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 1972506046 NPPES
Arkansas MEDICAID 140246001
Arkansas MEDICAID 205028202
Arkansas MEDICAID 648674090A
Arkansas MEDICAID 3854868
Arkansas MEDICAID 64014202
Arkansas MEDICAID 00122666
Arkansas MEDICAID 454775794-1
Arkansas MEDICAID 0030899
Arkansas MEDICAID 1430188
Arkansas MEDICAID 629975
Arkansas MEDICAID 100507255
Arkansas MEDICAID 422400000
Arkansas MEDICAID 200284430A
Arkansas MEDICAID 7611874
Arkansas MEDICAID 0535161
Arkansas MEDICAID 100641230A
Arkansas MEDICAID 009931440

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