Libiran, Matthew A R

Libiran, Matthew A R is an individual health care provider with primary practice located at 100 West Chicago Avenue Suite F, East Chicago IN 46312-3260. He recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as his primary health care specialty. Libiran, Matthew A R can be contacted via phone (219) 397-0193.

Contact Information

Primary practice address
100 West Chicago Avenue Suite F East Chicago IN 46312-3260
Phone: (219) 397-0193
Fax: (219) 397-0657
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X 01059738A Indiana

Profile Details

NPI number 1588656995
LBN Legal business name Libiran, Matthew A R
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 22nd, 2005
Last updated Nov 29th, 2012 - about 14 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 1588656995 NPPES
Other 01059738A MEDICAL LICENSE
MEDICAID 200531170 MEDICAL LICENSE

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