Freeman, Matthew Lynn

Freeman, Matthew Lynn is an individual health care provider with primary practice located at Rr 6 Box 840 , Stilwell OK 74960-8703. He recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Medical, which is considered as his primary health care specialty. Freeman, Matthew Lynn can be contacted via phone (918) 696-8800.

Contact Information

Primary practice address
Rr 6 Box 840 Stilwell OK 74960-8703
Phone: (918) 696-8800
Fax: (918) 696-3879
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Medical 363AM0700X PA1384 Oklahoma
Physician Assistants & Advanced Practice Nursing Providers / Medical 363AM0700X PA02983 Texas
Physician Assistants & Advanced Practice Nursing Providers / Medical 363AM0700X PA216 Arkansas

Profile Details

NPI number 1275520165
LBN Legal business name Freeman, Matthew Lynn
Credentials Physician Assistant (PA)
Entity Individual
Sole proprietor 1 No
Enumeration date Oct 5th, 2005
Last updated Jan 11th, 2011 - about 15 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 1275520165 NPPES
Oklahoma MEDICAID 1601384

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