Libke, Mathew J

Libke, Mathew J is an individual health care provider with primary practice located at 5255 E Stop 11 Rd Ste 450 , Indianapolis IN 46237-6342. He recently has only one registered license in Allopathic & Osteopathic Physicians / Surgery, which is considered as his primary health care specialty. Libke, Mathew J can be contacted via phone (317) 865-4800.

Contact Information

Primary practice address
5255 E Stop 11 Rd Ste 450 Indianapolis IN 46237-6342
Phone: (317) 865-4800
Fax: (317) 865-4806
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Surgery 208600000X 01056753A Indiana

Profile Details

NPI number 1629042627
LBN Legal business name Libke, Mathew J
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Feb 15th, 2006
Last updated Jun 12th, 2023 - about 2 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 1629042627 NPPES
Indiana MEDICAID 200399890A
Indiana Other 020053837

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