Matlock, Daniel Scott

Matlock, Daniel Scott is an sole proprietor health care provider with primary practice located at 3650 W Rock Creek Rd Suite 100, Norman OK 73072-2202. He recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Nurse Anesthetist, Certified Registered, which is considered as his primary health care specialty. Matlock, Daniel Scott can be contacted via phone (405) 701-3418.

Contact Information

Primary practice address
3650 W Rock Creek Rd Suite 100 Norman OK 73072-2202
Phone: (405) 701-3418
Fax: (405) 701-3451
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Nurse Anesthetist, Certified Registered 367500000X R0064933 Oklahoma

Profile Details

NPI number 1992765838
LBN Legal business name Matlock, Daniel Scott
Credentials Certified Registered Nurse Anesthetist (CRNA)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Mar 24th, 2006
Last updated Apr 29th, 2011 - about 13 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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Identifiers

StateTypeNumberIssuer
All States NPI 1992765838 NPPES
Oklahoma MEDICAID 200077660A

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