Matlock, Carl

Matlock, Carl is an individual health care provider with primary practice located at 2900 16Th St , Bedford IN 47421-3510. He recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as his primary health care specialty. Matlock, Carl can be contacted via phone (812) 277-5013.

Contact Information

Primary practice address
2900 16Th St Bedford IN 47421-3510
Fax: (812) 275-5918
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X 01023944A Indiana

Profile Details

NPI number 1801881750
LBN Legal business name Matlock, Carl
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Sep 16th, 2005
Last updated Jan 5th, 2016 - about 8 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 1801881750 NPPES
Indiana MEDICAID 100380260

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