Mctague, Matthew Marcus

Mctague, Matthew Marcus is an individual health care provider with primary practice located at 3315 Kethley Rd , Shawnee OK 74804-9638. He recently has only one registered license in Allopathic & Osteopathic Physicians / Surgery, which is considered as his primary health care specialty. Mctague, Matthew Marcus can be contacted via phone (405) 273-5801.

Contact Information

Primary practice address
3315 Kethley Rd Shawnee OK 74804-9638
Phone: (405) 273-5801
Fax: (405) 878-3794
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Surgery 208600000X 4930 Oklahoma

Profile Details

NPI number 1598910283
LBN Legal business name Mctague, Matthew Marcus
Credentials Doctor of Osteopathy (DO)
Entity Individual
Sole proprietor 1 No
Enumeration date Nov 21st, 2008
Last updated Sep 19th, 2023 - about last year

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 1598910283 NPPES
Texas MEDICAID 210410701
Texas Other P00803385

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