Langenberg, Matthew T

Langenberg, Matthew T is an sole proprietor health care provider with primary practice located at 520 Mary St Ste 520, Evansville IN 47710. He recently has only one registered license in Allopathic & Osteopathic Physicians / Vascular Surgery, which is considered as his primary health care specialty. Langenberg, Matthew T can be contacted via phone (812) 424-8231.

Contact Information

Primary practice address
520 Mary St Ste 520 Evansville IN 47710
Phone: (812) 424-8231
Fax: (812) 435-8794
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Vascular Surgery 2086S0129X 01075972A Indiana

Profile Details

NPI number 1407845159
LBN Legal business name Langenberg, Matthew T
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Oct 17th, 2005
Last updated Aug 2nd, 2018 - about 6 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 1407845159 NPPES
Kentucky MEDICAID 7100229330
Kentucky Other 000000978343
Kentucky MEDICAID 201332370
Kentucky MEDICAID XXXXXXXXX001

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