Lundien, Matthew C
Lundien, Matthew C is an individual health care provider with primary practice located at 1965 S Fremont Ave Ste 220, Springfield MO 65804-2201. He recently has only one registered license in Allopathic & Osteopathic Physicians / Pediatric Pulmonology, which is considered as his primary health care specialty. Lundien, Matthew C can be contacted via phone (417) 820-9055.Contact Information
Primary practice address
1965 S Fremont Ave Ste 220
Springfield MO 65804-2201
Phone: (417) 820-9055
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Pediatric Pulmonology | 2080P0214X | 2013017410 | Missouri |
Profile Details
| NPI number | 1053364281 |
|---|---|
| LBN Legal business name | Lundien, Matthew C |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | May 18th, 2006 |
| Last updated | Oct 15th, 2013 - about 12 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1053364281 | NPPES |
| Oklahoma | MEDICAID | 200499740 A | |
| Oklahoma | Other | P01208067 | |
| Oklahoma | Other | 431560263 | |
| Oklahoma | MEDICAID | 201077460A | |
| Oklahoma | MEDICAID | 1053364281 | |
| Oklahoma | MEDICAID | 198935001 |
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