Montelongo, Matthew Allen
Montelongo, Matthew Allen is an sole proprietor health care provider with primary practice located at 608 W Highpoint Dr , Stillwater OK 74075-1530. He recently has only one registered license in Other Service Providers / Case Manager/Care Coordinator, which is considered as his primary health care specialty. Montelongo, Matthew Allen can be contacted via phone (405) 743-1968.Contact Information
Primary practice address
608 W Highpoint Dr
Stillwater OK 74075-1530
Phone: (405) 743-1968
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Other Service Providers / Case Manager/Care Coordinator | 171M00000X |
Profile Details
| NPI number | 1124498019 |
|---|---|
| LBN Legal business name | Montelongo, Matthew Allen |
| Credentials | |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Oct 5th, 2015 |
| Last updated | Oct 5th, 2015 - about 11 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 | 1124498019 | NPPES |
| Oklahoma | MEDICAID | 200255170A |
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