Matus, Coral D

Matus, Coral D is an individual health care provider with primary practice located at 3333 Glendale Ave , Toledo OH 43614-2426. She recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as her primary health care specialty. Matus, Coral D can be contacted via phone (419) 383-5555.

Contact Information

Primary practice address
3333 Glendale Ave Toledo OH 43614-2426
Phone: (419) 383-5555
Fax: (419) 383-3113
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X 35071471 Ohio

Profile Details

NPI number 1700882594
LBN Legal business name Matus, Coral D
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 27th, 2005
Last updated Jan 10th, 2018 - about 8 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 1700882594 NPPES
Ohio Other 000000030643 ANTHEM MEDICAID
Ohio Other 142109 ANTHEM MEDICAID
Ohio MEDICAID 2071092 ANTHEM MEDICAID
Ohio Other 7155935002 ANTHEM MEDICAID
Ohio Other 344428256 ANTHEM MEDICAID
Ohio Other 0104383 ANTHEM MEDICAID
Ohio Other 142072 ANTHEM MEDICAID
Ohio Other 344428256 ANTHEM MEDICAID
Ohio Other 000000030643 ANTHEM MEDICAID
Ohio Other 5030651 ANTHEM MEDICAID
Ohio Other 5030651 ANTHEM MEDICAID
Ohio Other 26094 ANTHEM MEDICAID
Ohio Other 6898 ANTHEM MEDICAID

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