Misner, Matthew R

Misner, Matthew R is an individual health care provider with primary practice located at 213 Middlebury St , Goshen IN 46528. He recently has only one registered license in Allopathic & Osteopathic Physicians / Pediatrics, which is considered as his primary health care specialty. Misner, Matthew R can be contacted via phone (574) 534-3300.

Contact Information

Primary practice address
213 Middlebury St Goshen IN 46528
Phone: (574) 534-3300
Fax: (574) 534-5412
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Pediatrics 208000000X 20A11818 California
Allopathic & Osteopathic Physicians / Pediatrics 208000000X 0102205035 Virginia
Allopathic & Osteopathic Physicians / Pediatrics 208000000X 4644 Oklahoma
Allopathic & Osteopathic Physicians / Pediatrics 208000000X 02004768A Indiana

Profile Details

NPI number 1366637555
LBN Legal business name Misner, Matthew R
Credentials Doctor of Osteopathy (DO)
Entity Individual
Sole proprietor 1 No
Enumeration date Sep 11th, 2007
Last updated Aug 26th, 2019 - about 5 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 1366637555 NPPES
Indiana MEDICAID 300019274

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