Hennig, Matthew Edward
Hennig, Matthew Edward is an sole proprietor health care provider with primary practice located at 207 Sparks Ave Ste 201 , Jeffersonville IN 47130-3739. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Surgery, Allopathic & Osteopathic Physicians / Thoracic Surgery (Cardiothoracic Vascular Surgery). Allopathic & Osteopathic Physicians / Thoracic Surgery (Cardiothoracic Vascular Surgery) is his primary health care specialty. Hennig, Matthew Edward can be contacted via phone (812) 280-1419.Contact Information
Primary practice address
207 Sparks Ave Ste 201
Jeffersonville IN 47130-3739
Phone: (812) 280-1419
Fax: (812) 280-1451
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Surgery | 208600000X | 036126188 | Illinois |
| Allopathic & Osteopathic Physicians / Surgery | 208600000X | 01071815A | Indiana |
| Allopathic & Osteopathic Physicians / Thoracic Surgery (Cardiothoracic Vascular Surgery) | 208G00000X | 01071815A | Indiana |
Profile Details
| NPI number | 1518127943 |
|---|---|
| LBN Legal business name | Hennig, Matthew Edward |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Jun 10th, 2008 |
| Last updated | Feb 23rd, 2024 - about 2 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1518127943 | NPPES |
| Kentucky | MEDICAID | 7100452410 | |
| Kentucky | MEDICAID | 201189360 | |
| Kentucky | Other | 01071815A |
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