Individual
DR. MATTHEW A EATON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DO
Contact information
Practice address
2401 W UNIVERSITY AVE, MUNCIE, IN 47303-3428
(765) 747-3111
(317) 962-5492
Mailing address
250 N SHADELAND AVE, INDIANAPOLIS, IN 46219-4959
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
02005106A
IN
207P00000X
Emergency Medicine Physician
11018552A
IN
207P00000X
Emergency Medicine Physician
125065201
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
264430H33
MEDICARE PTAN
IN
05
—
300005773
—
IN
Enumeration date
05/12/2014
Last updated
09/08/2023
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