Draelos, Matthew Theodore
Draelos, Matthew Theodore is an individual health care provider with primary practice located at 200 N Bryant Ave Suite 100, Edmond OK 73034-6273. He recently has only one registered license in Allopathic & Osteopathic Physicians / Endocrinology, Diabetes & Metabolism, which is considered as his primary health care specialty. Draelos, Matthew Theodore can be contacted via phone (405) 330-2362.Contact Information
Primary practice address
200 N Bryant Ave Suite 100
Edmond OK 73034-6273
Phone: (405) 330-2362
Fax: (405) 330-2363
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Endocrinology, Diabetes & Metabolism | 207RE0101X | 15748 | Oklahoma |
Profile Details
| NPI number | 1437221694 |
|---|---|
| LBN Legal business name | Draelos, Matthew Theodore |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Nov 14th, 2006 |
| Last updated | Oct 22nd, 2008 - about 17 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 | 1437221694 | NPPES |
| Oklahoma | Other | OK401293 | MEDICARE TPAN |
Popular Providers
-
Fruiterman, Mark Lester
1365 Washington Ave Ste 300, Albany NY 12206-1098 -
Perkins, Victoria Anne
1532 W 32Nd St Ste 402 , Joplin MO 64804-1639 -
Baeten, Pamela C
704 S Webster Ave Ste 500, Green Bay WI 54301-3528 -
Passaro, Maureen D
18109 Prince Philip Dr Ste B , Olney MD 20832-1519 -
Harris, Matthey T
1240 Jesse Jewell Pkwy Se Ste 500, Gainesville GA 30501-3861 -
Cavale, Arvind Ramachandrarao
4 Rose Ave Suite A, Feasterville Trevose PA 19053-4324 -
Dauphin, Pascal A.
107 Glen Oak Blvd Ste 201B , Hendersonville TN 37075-3000 -
Marifke, Jerald P
3551 Abbey Ct , Green Bay WI 54313-7471