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
Phone: (317) 888-5500
Fax: (317) 887-4806
Website:
Health care specialties
| Specialty | Code | License # | 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| 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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