Matt, Bruce H.

Matt, Bruce H. is an individual health care provider with primary practice located at 705 Riley Hospital Dr Suite 0860, Indianapolis IN 46202-5128. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Otolaryngology, Allopathic & Osteopathic Physicians / Pediatric Otolaryngology. Allopathic & Osteopathic Physicians / Pediatric Otolaryngology is his primary health care specialty. Matt, Bruce H. can be contacted via phone (317) 944-8620.

Contact Information

Primary practice address
705 Riley Hospital Dr Suite 0860 Indianapolis IN 46202-5128
Phone: (317) 944-8620
Fax: (317) 944-8080
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Otolaryngology 207Y00000X 01037542A Indiana
Allopathic & Osteopathic Physicians / Pediatric Otolaryngology 207YP0228X 01037542A Indiana

Profile Details

NPI number 1013941558
LBN Legal business name Matt, Bruce H.
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 10th, 2006
Last updated Dec 28th, 2020 - about 6 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 1013941558 NPPES
Indiana MEDICAID 100320610

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