Magnino, Matthew J

Magnino, Matthew J is an individual health care provider with primary practice located at 450 E 23Rd St , Fremont NE 68025-2303. He recently has only one registered license in Other Service Providers / Specialist, which is considered as his primary health care specialty. Magnino, Matthew J can be contacted via phone (402) 727-7990.

Contact Information

Primary practice address
450 E 23Rd St Fremont NE 68025-2303
Fax: (402) 727-1761
Website:

Health care specialties

SpecialtyCodeLicense #State
Other Service Providers / Specialist 174400000X 21554 Nebraska

Profile Details

NPI number 1962451633
LBN Legal business name Magnino, Matthew J
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date May 9th, 2006
Last updated Mar 5th, 2012 - 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1962451633 NPPES
Nebraska Other 050078071 RAILROAD MEDICARE
Nebraska MEDICAID 911765978-13 RAILROAD MEDICARE
Nebraska Other 34726 RAILROAD MEDICARE

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