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
Fax: (918) 495-0607
Website:

Health care specialties

SpecialtyCodeLicense #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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1245262419 NPPES
Oklahoma MEDICAID 200161290A

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