Loe, Matthew James

Loe, Matthew James is an individual health care provider with primary practice located at 2355 Highway 36 W Ste 100 , Roseville MN 55113-3905. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Diagnostic Radiology, Allopathic & Osteopathic Physicians / Vascular & Interventional Radiology. Allopathic & Osteopathic Physicians / Diagnostic Radiology is his primary health care specialty. Loe, Matthew James can be contacted via phone (651) 292-2000.

Contact Information

Primary practice address
2355 Highway 36 W Ste 100 Roseville MN 55113-3905
Phone: (651) 292-2000
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Diagnostic Radiology 2085R0202X 48953 Minnesota
Allopathic & Osteopathic Physicians / Vascular & Interventional Radiology 2085R0204X 48953 Minnesota

Profile Details

NPI number 1861419293
LBN Legal business name Loe, Matthew James
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 15th, 2006
Last updated Jun 21st, 2022 - 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 1861419293 NPPES
Iowa MEDICAID ENROLLED
Iowa MEDICAID 34730600
Iowa MEDICAID 587608000

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