Lavery, Matthew R

Lavery, Matthew R is an individual health care provider with primary practice located at 1260 Innovation Pkwy #100, Greenwood IN 46143-3602. He recently has only one registered license in Allopathic & Osteopathic Physicians / Orthopaedic Surgery, which is considered as his primary health care specialty. Lavery, Matthew R can be contacted via phone (317) 884-5200.

Contact Information

Primary practice address
1260 Innovation Pkwy #100 Greenwood IN 46143-3602
Fax: (317) 884-5360
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Orthopaedic Surgery 207X00000X 01066671A Indiana

Profile Details

NPI number 1295943678
LBN Legal business name Lavery, Matthew R
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date May 18th, 2007
Last updated May 16th, 2024 - about 6 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 1295943678 NPPES
Indiana MEDICAID 200973110

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