Blankenship, Matt Morey
Blankenship, Matt Morey is an individual health care provider with primary practice located at 10507 E 91St St 270, Tulsa OK 74133-5589. He recently has only one registered license in Allopathic & Osteopathic Physicians / Gastroenterology, which is considered as his primary health care specialty. Blankenship, Matt Morey can be contacted via phone (918) 307-5480.Contact Information
Primary practice address
10507 E 91St St 270
Tulsa OK 74133-5589
Phone: (918) 307-5480
Fax: (918) 307-5481
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Gastroenterology | 207RG0100X | 22457 | Oklahoma |
Profile Details
| NPI number | 1902950165 |
|---|---|
| LBN Legal business name | Blankenship, Matt Morey |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jan 23rd, 2007 |
| Last updated | Mar 29th, 2016 - 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1902950165 | NPPES |
| Oklahoma | MEDICAID | 200112540A |
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