Marr, Matthew Tyler
Marr, Matthew Tyler is an individual health care provider with primary practice located at 825 Ne 10Th St # 1703 , Oklahoma City OK 73104-5417. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Surgery, Allopathic & Osteopathic Physicians / Plastic Surgery. Allopathic & Osteopathic Physicians / Plastic Surgery is his primary health care specialty. Marr, Matthew Tyler can be contacted via phone (405) 271-2220.Contact Information
Primary practice address
825 Ne 10Th St # 1703
Oklahoma City OK 73104-5417
Phone: (405) 271-2220
Fax: (405) 271-5644
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Surgery | 208600000X | EL191030 | Maine |
| Allopathic & Osteopathic Physicians / Surgery | 208600000X | MD23272 | Maine |
| Allopathic & Osteopathic Physicians / Surgery | 208600000X | 2019022418 | Missouri |
| Allopathic & Osteopathic Physicians / Plastic Surgery | 208200000X | 34899 | Oklahoma |
Profile Details
| NPI number | 1619395175 |
|---|---|
| LBN Legal business name | Marr, Matthew Tyler |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Apr 2nd, 2014 |
| Last updated | Dec 3rd, 2020 - about 6 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 | 1619395175 | NPPES |
| Maine | MEDICAID | 1619395175 |
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