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:
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Health care specialties

SpecialtyCodeLicense #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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1518127943 NPPES
Kentucky MEDICAID 7100452410
Kentucky MEDICAID 201189360
Kentucky Other 01071815A

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