Olden, Matthew Quinn
Olden, Matthew Quinn is an sole proprietor health care provider with primary practice located at 4004 Dorris Rd , Irving TX 75038-4003. He recently has only one registered license in Technologists, Technicians & Other Technical Service Providers / Radiation Therapy, which is considered as his primary health care specialty. Olden, Matthew Quinn can be contacted via phone (817) 308-0268.Contact Information
Primary practice address
4004 Dorris Rd
Irving TX 75038-4003
Phone: (817) 308-0268
Fax: (972) 258-7972
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Technologists, Technicians & Other Technical Service Providers / Radiation Therapy | 2471R0002X | 19961 | Texas |
| Technologists, Technicians & Other Technical Service Providers / Radiation Therapy | 2471R0002X | 233121 |
Profile Details
| NPI number | 1497070379 |
|---|---|
| LBN Legal business name | Olden, Matthew Quinn |
| Credentials | R.T. (R),(T) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Apr 2nd, 2010 |
| Last updated | Apr 2nd, 2010 - about 14 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 | 1497070379 | NPPES |
| Texas | Other | 19961 | TEXAS DEPARTMENT OF HEALTH |
| Texas | Other | 233121 | TEXAS DEPARTMENT OF HEALTH |
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