Priest, Matthew Thomas

Priest, Matthew Thomas is an individual health care provider with primary practice located at 2345 Southwest Blvd , Tulsa OK 74107-2705. He recently has 2 registered licenses in different health care specialties including Student, Health Care / Student in an Organized Health Care Education/Training Program, Allopathic & Osteopathic Physicians / General Practice. Allopathic & Osteopathic Physicians / General Practice is his primary health care specialty. Priest, Matthew Thomas can be contacted via phone (918) 582-1980.

Contact Information

Primary practice address
2345 Southwest Blvd Tulsa OK 74107-2705
Phone: (918) 582-1980
Fax: (918) 561-1289
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Student, Health Care / Student in an Organized Health Care Education/Training Program 390200000X
Allopathic & Osteopathic Physicians / General Practice 208D00000X 7124 Oklahoma

Profile Details

NPI number 1447711874
LBN Legal business name Priest, Matthew Thomas
Credentials
Entity Individual
Sole proprietor 1 No
Enumeration date Mar 28th, 2019
Last updated Nov 26th, 2024 - about 2 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 1447711874 NPPES
Oklahoma MEDICAID 200960830A
Oklahoma Other 7124

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