Surburg, Matthew J.

Surburg, Matthew J. is an individual health care provider with primary practice located at 7825 Mcfarland Ln Ste A , Indianapolis IN 46237-3630. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Family Medicine, Allopathic & Osteopathic Physicians / Obstetrics & Gynecology. Allopathic & Osteopathic Physicians / Family Medicine is his primary health care specialty. Surburg, Matthew J. can be contacted via phone (317) 888-5500.

Contact Information

Primary practice address
7825 Mcfarland Ln Ste A Indianapolis IN 46237-3630
Fax: (317) 887-4806
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X 01055469A Indiana
Allopathic & Osteopathic Physicians / Obstetrics & Gynecology 207V00000X 01055469A Indiana

Profile Details

NPI number 1376545756
LBN Legal business name Surburg, Matthew J.
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 15th, 2005
Last updated Sep 13th, 2023 - about 3 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 1376545756 NPPES
Indiana Other 7635385 AETNA PIN#
Indiana Other 000000227806 AETNA PIN#
Indiana Other 080189954 AETNA PIN#
Indiana MEDICAID 200405950 AETNA PIN#
Indiana MEDICAID 200311740G AETNA PIN#

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