Krosin, Matthew Evan
Krosin, Matthew Evan is an sole proprietor health care provider with primary practice located at 550 University Blvd , Indianapolis IN 46202-5149. He recently has 3 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Vascular & Interventional Radiology, Student, Health Care / Student in an Organized Health Care Education/Training Program, Allopathic & Osteopathic Physicians / Diagnostic Radiology. Allopathic & Osteopathic Physicians / Diagnostic Radiology is his primary health care specialty. Krosin, Matthew Evan can be contacted via phone (317) 944-4600.Contact Information
Primary practice address
550 University Blvd
Indianapolis IN 46202-5149
Phone: (317) 944-4600
Fax: (317) 948-7055
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Vascular & Interventional Radiology | 2085R0204X | 01083268A | Indiana |
| Student, Health Care / Student in an Organized Health Care Education/Training Program | 390200000X | ||
| Allopathic & Osteopathic Physicians / Diagnostic Radiology | 2085R0202X | 01083268A | Indiana |
Profile Details
| NPI number | 1033537097 |
|---|---|
| LBN Legal business name | Krosin, Matthew Evan |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Apr 6th, 2014 |
| Last updated | Dec 28th, 2023 - about last year |
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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1033537097 | NPPES |
| Indiana | Other | 959090106 | MEDICARE PTAN |
| Indiana | Other | Q00114643 | MEDICARE PTAN |
| Indiana | MEDICAID | 300025200 | MEDICARE PTAN |
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