Dohlman, Matthew Brett
Dohlman, Matthew Brett is an individual health care provider with primary practice located at 9245 S Mingo Rd , Tulsa OK 74133-5793. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Dermatology, Physician Assistants & Advanced Practice Nursing Providers / Medical. Physician Assistants & Advanced Practice Nursing Providers / Medical is his primary health care specialty. Dohlman, Matthew Brett can be contacted via phone (918) 492-8980.Contact Information
Primary practice address
9245 S Mingo Rd
Tulsa OK 74133-5793
Phone: (918) 492-8980
Fax: (918) 495-0607
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Dermatology | 207N00000X | APA1311 | Oklahoma |
| Physician Assistants & Advanced Practice Nursing Providers / Medical | 363AM0700X | 1311 | Oklahoma |
Profile Details
| NPI number | 1245262419 |
|---|---|
| LBN Legal business name | Dohlman, Matthew Brett |
| Credentials | Physician Assistant (PA) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jul 7th, 2006 |
| Last updated | Aug 19th, 2016 - about 10 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 | 1245262419 | NPPES |
| Oklahoma | MEDICAID | 200161290A |
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