Duban, Matthew E

Duban, Matthew E is an individual health care provider with primary practice located at 1 Memorial Dr , Alton IL 62002-6722. He recently has only one registered license in Allopathic & Osteopathic Physicians / Emergency Medicine, which is considered as his primary health care specialty. Duban, Matthew E can be contacted via phone (618) 463-7311.

Contact Information

Primary practice address
1 Memorial Dr Alton IL 62002-6722
Phone: (618) 463-7311
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Emergency Medicine 207P00000X 2002031637 Missouri
Allopathic & Osteopathic Physicians / Emergency Medicine 207P00000X 9900480 North Carolina
Allopathic & Osteopathic Physicians / Emergency Medicine 207P00000X 036-079250 Illinois
Allopathic & Osteopathic Physicians / Emergency Medicine 207P00000X J5749 Texas

Profile Details

NPI number 1023035573
LBN Legal business name Duban, Matthew E
Credentials M.D., FACEP
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 17th, 2006
Last updated Mar 23rd, 2020 - 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 1023035573 NPPES
Illinois MEDICAID 036079250-3
Illinois MEDICAID 204989404
Illinois MEDICAID 036079250

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