Cummens, Matthew Wood
Cummens, Matthew Wood is an sole proprietor health care provider with primary practice located at 100 S Bliss Ave , Tahlequah OK 74464-2512. He recently has only one registered license in Nursing Service Providers / Registered Nurse, which is considered as his primary health care specialty. Cummens, Matthew Wood can be contacted via phone (918) 458-3100.Contact Information
Primary practice address
100 S Bliss Ave
Tahlequah OK 74464-2512
Phone: (918) 458-3100
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Nursing Service Providers / Registered Nurse | 163W00000X | 2016010580 | Missouri |
Profile Details
| NPI number | 1669937793 |
|---|---|
| LBN Legal business name | Cummens, Matthew Wood |
| Credentials | Certified Registered Nurse Anesthetist (CRNA) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Feb 3rd, 2019 |
| Last updated | Feb 3rd, 2019 - 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 | 1669937793 | NPPES |
| Missouri | Other | 2016010580 | NURSING LICENSE |
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