Eddleman, Mattie Elizabeth

Eddleman, Mattie Elizabeth is an individual health care provider with primary practice located at 780 Sw 19Th St , Moore OK 73160-3054. She recently has only one registered license in Dental Providers / General Practice, which is considered as her primary health care specialty. Eddleman, Mattie Elizabeth can be contacted via phone (402) 669-2590.

Contact Information

Primary practice address
780 Sw 19Th St Moore OK 73160-3054
Phone: (402) 669-2590
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Dental Providers / General Practice 1223G0001X 7639 Oklahoma

Profile Details

NPI number 1083346241
LBN Legal business name Eddleman, Mattie Elizabeth
Credentials
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 27th, 2022
Last updated Jun 27th, 2022 - about 2 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.

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