Tucker, Matthew Dean
Tucker, Matthew Dean is an sole proprietor health care provider with primary practice located at 1717 S Utica Ave Ste A , Tulsa OK 74104-5346. He recently has only one registered license in Allopathic & Osteopathic Physicians / Emergency Medicine, which is considered as his primary health care specialty. Tucker, Matthew Dean can be contacted via phone (918) 748-7557.Contact Information
Primary practice address
1717 S Utica Ave Ste A
Tulsa OK 74104-5346
Phone: (918) 748-7557
Fax: (918) 403-0383
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Emergency Medicine | 207P00000X | 3498 | Oklahoma |
Profile Details
| NPI number | 1760473995 |
|---|---|
| LBN Legal business name | Tucker, Matthew Dean |
| Credentials | Doctor of Osteopathy (DO) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Nov 5th, 2005 |
| Last updated | Jul 31st, 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 | 1760473995 | NPPES |
| Oklahoma | MEDICAID | 100119850A | |
| Oklahoma | Other | 930087699 |
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