Diesselhorst, Matthew M
Diesselhorst, Matthew M is an individual health care provider with primary practice located at 10914 Hefner Pointe Dr Ste 200 , Oklahoma City OK 73120-5069. He recently has 3 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Orthopaedic Trauma, Allopathic & Osteopathic Physicians / Sports Medicine, Allopathic & Osteopathic Physicians / Orthopaedic Surgery. Allopathic & Osteopathic Physicians / Orthopaedic Surgery is his primary health care specialty. Diesselhorst, Matthew M can be contacted via phone (405) 463-3337.Contact Information
Primary practice address
10914 Hefner Pointe Dr Ste 200
Oklahoma City OK 73120-5069
Phone: (405) 463-3337
Fax: (405) 463-3338
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Orthopaedic Trauma | 207XX0801X | 25730 | Oklahoma |
| Allopathic & Osteopathic Physicians / Sports Medicine | 207XX0005X | 25730 | Oklahoma |
| Allopathic & Osteopathic Physicians / Orthopaedic Surgery | 207X00000X | 25730 | Oklahoma |
Profile Details
| NPI number | 1104022417 |
|---|---|
| LBN Legal business name | Diesselhorst, Matthew M |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jun 23rd, 2007 |
| Last updated | Apr 7th, 2020 - about 5 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 | 1104022417 | NPPES |
| Oklahoma | Other | 25730 | MEDICAL LICENSE |
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