Roberts, Matthew Harold

Roberts, Matthew Harold is an sole proprietor health care provider with primary practice located at 310 2Nd Ave Sw Ste 102, Miami OK 74354-6708. He recently has only one registered license in Podiatric Medicine & Surgery Service Providers / Foot & Ankle Surgery, which is considered as his primary health care specialty. Roberts, Matthew Harold can be contacted via phone (918) 540-7655.

Contact Information

Primary practice address
310 2Nd Ave Sw Ste 102 Miami OK 74354-6708
Phone: (918) 540-7655
Fax: (918) 540-7668
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Podiatric Medicine & Surgery Service Providers / Foot & Ankle Surgery 213ES0103X 223 Oklahoma

Profile Details

NPI number 1225030562
LBN Legal business name Roberts, Matthew Harold
Credentials Doctor of Podiatric Medicine (DPM)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jun 1st, 2005
Last updated Feb 16th, 2012 - 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 1225030562 NPPES
Oklahoma MEDICAID 100780830A

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