Peaden, Matthew Bennion

Peaden, Matthew Bennion is an individual health care provider with primary practice located at 1515 N Madison Ave , Anderson IN 46011-3453. He recently has 2 registered licenses in different health care specialties including Other Service Providers / Specialist, Allopathic & Osteopathic Physicians / Anesthesiology. Allopathic & Osteopathic Physicians / Anesthesiology is his primary health care specialty. Peaden, Matthew Bennion can be contacted via phone (317) 802-3125.

Contact Information

Primary practice address
1515 N Madison Ave Anderson IN 46011-3453
Fax: (317) 870-0499
Website:

Health care specialties

SpecialtyCodeLicense #State
Other Service Providers / Specialist 174400000X SL0737 Nevada
Allopathic & Osteopathic Physicians / Anesthesiology 207L00000X 02004434 Indiana

Profile Details

NPI number 1932420874
LBN Legal business name Peaden, Matthew Bennion
Credentials Doctor of Osteopathy (DO)
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 15th, 2010
Last updated Nov 27th, 2023 - about last year

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 1932420874 NPPES
Indiana Other P01424390 RAIL ROAD PTAN

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