Faso, Mathew
Faso, Mathew is an sole proprietor health care provider with primary practice located at 1715 S Baltimore Ave , Tulsa OK 74119-4807. He recently has only one registered license in Technologists, Technicians & Other Technical Service Providers / Electroneurodiagnostic, which is considered as his primary health care specialty. Faso, Mathew can be contacted via phone (918) 895-7680.Contact Information
Primary practice address
1715 S Baltimore Ave
Tulsa OK 74119-4807
Phone: (918) 895-7680
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Technologists, Technicians & Other Technical Service Providers / Electroneurodiagnostic | 246ZE0600X |
Profile Details
| NPI number | 1861123325 |
|---|---|
| LBN Legal business name | Faso, Mathew |
| Credentials | |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Jun 23rd, 2022 |
| Last updated | Jun 24th, 2022 - about 4 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 | 1861123325 | NPPES |
| New York | Other | 12191994 | DOB |
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