Matson, Ethan
Matson, Ethan is an sole proprietor health care provider with primary practice located at 1602 Timberline Dr , Durant OK 74701-2339. He recently has only one registered license in Behavioral Health & Social Service Providers / Mental Health, which is considered as his primary health care specialty. Matson, Ethan can be contacted via phone (580) 916-8604.Contact Information
Primary practice address
1602 Timberline Dr
Durant OK 74701-2339
Phone: (580) 916-8604
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Mental Health | 101YM0800X |
Profile Details
| NPI number | 1073854071 |
|---|---|
| LBN Legal business name | Matson, Ethan |
| Credentials | |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Mar 15th, 2013 |
| Last updated | Mar 15th, 2013 - about 13 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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