Matibag, Victor P.

Matibag, Victor P. is an individual health care provider with primary practice located at 1035 Wall St Suite 207, Jeffersonville IN 47130-3612. He recently has only one registered license in Other Service Providers / Specialist, which is considered as his primary health care specialty. Matibag, Victor P. can be contacted via phone (812) 282-1351.

Contact Information

Primary practice address
1035 Wall St Suite 207 Jeffersonville IN 47130-3612
Phone: (812) 282-1351
Fax: (812) 283-5758
Website:
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Health care specialties

SpecialtyCodeLicense #State
Other Service Providers / Specialist 174400000X 23576 Indiana

Profile Details

NPI number 1265433023
LBN Legal business name Matibag, Victor P.
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 2nd, 2005
Last updated Apr 24th, 2008 - about 16 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 1265433023 NPPES
Indiana MEDICAID 100354350A
Indiana Other 130005448

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