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
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #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 9 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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