Matlock, Carl
Matlock, Carl is an individual health care provider with primary practice located at 2900 16Th St , Bedford IN 47421-3510. He recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as his primary health care specialty. Matlock, Carl can be contacted via phone (812) 277-5013.Contact Information
Primary practice address
2900 16Th St
Bedford IN 47421-3510
Phone: (812) 277-5013
Fax: (812) 275-5918
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Family Medicine | 207Q00000X | 01023944A | Indiana |
Profile Details
| NPI number | 1801881750 |
|---|---|
| LBN Legal business name | Matlock, Carl |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Sep 16th, 2005 |
| Last updated | Jan 5th, 2016 - about 10 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 | 1801881750 | NPPES |
| Indiana | MEDICAID | 100380260 |
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