Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
MATTHEW OLDENBURG
Active Sole ProprietorMATTHEW OLDENBURG is a Emergency Medical Services healthcare provider located in BLOOMINGTON, Illinois. NPI 1164272142 is currently active in the NPPES registry. Verify at CMS.
Emergency Medical Services · BLOOMINGTON, IL
Registration Details
- NPI Number
- 1164272142
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Mar 25, 2024 (2.4219454303796 yrs)
- Last Updated
- Mar 25, 2024
- License
-
001082825 (IL)
- Sole Proprietor
- Yes
Practice Information
- Address
-
14880 OLD COLONIAL RDBLOOMINGTON, IL, 617055981Browse IL providers · Browse ZIP 61705
- Phone
- 3098284641
- Primary Specialty
-
Emergency Medical Services
207PE0004X
Other Emergency Medical Services Providers in BLOOMINGTON, IL
| Name | Credential | NPI |
|---|---|---|
| DR. RICHARD SABBUN | M.D. | 1023045606 |
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.