Oldenburg, Matthew
Oldenburg, Matthew is an sole proprietor health care provider with primary practice located at 14880 Old Colonial Rd , Bloomington IL 61705-5981. He recently has only one registered license in Allopathic & Osteopathic Physicians / Emergency Medical Services, which is considered as his primary health care specialty. Oldenburg, Matthew can be contacted via phone (309) 828-4641.Contact Information
Primary practice address
14880 Old Colonial Rd
Bloomington IL 61705-5981
Phone: (309) 828-4641
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Emergency Medical Services | 207PE0004X | 001082825 | Illinois |
Profile Details
| NPI number | 1164272142 |
|---|---|
| LBN Legal business name | Oldenburg, Matthew |
| Credentials | |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Mar 25th, 2024 |
| Last updated | Mar 25th, 2024 - about 9 months 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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