Davidson, Matthew Shane

Davidson, Matthew Shane is an individual health care provider with primary practice located at 1006 Bear Lane , Okmulgee OK 74447. He recently has only one registered license in Other Service Providers / Peer Specialist, which is considered as his primary health care specialty. Davidson, Matthew Shane can be contacted via phone (918) 549-2643.

Contact Information

Primary practice address
1006 Bear Lane Okmulgee OK 74447
Phone: (918) 549-2643
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Other Service Providers / Peer Specialist 175T00000X

Profile Details

NPI number 1609608280
LBN Legal business name Davidson, Matthew Shane
Credentials PEER SPECIALIST
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 14th, 2024
Last updated Jun 4th, 2025 - about last year

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.

Request for update

Popular Providers