Phillips, Mathew Todd

Phillips, Mathew Todd is an individual health care provider with primary practice located at 8620 Biggin Hill Ln , Louisville KY 40220-4117. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Orthopaedic Surgery, Allopathic & Osteopathic Physicians / Orthopaedic Surgery of the Spine. Allopathic & Osteopathic Physicians / Orthopaedic Surgery is his primary health care specialty. Phillips, Mathew Todd can be contacted via phone (859) 817-3599.

Contact Information

Primary practice address
8620 Biggin Hill Ln Louisville KY 40220-4117
Phone: (859) 817-3599
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Orthopaedic Surgery 207X00000X 036143518 Illinois
Allopathic & Osteopathic Physicians / Orthopaedic Surgery 207X00000X 35127665 Ohio
Allopathic & Osteopathic Physicians / Orthopaedic Surgery of the Spine 207XS0117X 43615 Kentucky
Allopathic & Osteopathic Physicians / Orthopaedic Surgery of the Spine 207XS0117X 01067795A Indiana
Allopathic & Osteopathic Physicians / Orthopaedic Surgery 207X00000X 43615 Kentucky

Profile Details

NPI number 1619172947
LBN Legal business name Phillips, Mathew Todd
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 18th, 2007
Last updated Apr 5th, 2023 - 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 1619172947 NPPES
Kentucky Other 201028740 MEDICAID INDIANA
Kentucky Other 50033377 MEDICAID INDIANA
Kentucky MEDICAID 036143518 MEDICAID INDIANA
Kentucky Other 1840079 MEDICAID INDIANA
Kentucky Other P00966208 MEDICAID INDIANA
Kentucky Other 000000719168 MEDICAID INDIANA
Kentucky MEDICAID 300071320 MEDICAID INDIANA
Kentucky MEDICAID 7100123040 MEDICAID INDIANA
Kentucky Other 9854581 MEDICAID INDIANA

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