Stevens, Matthew Brett

Stevens, Matthew Brett is an individual health care provider with primary practice located at 10507 E 91St St Suite 550, Tulsa OK 74133-5589. He recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as his primary health care specialty. Stevens, Matthew Brett can be contacted via phone (918) 307-3060.

Contact Information

Primary practice address
10507 E 91St St Suite 550 Tulsa OK 74133-5589
Phone: (918) 307-3060
Fax: (918) 307-3061
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X 17589 Oklahoma

Profile Details

NPI number 1245201086
LBN Legal business name Stevens, Matthew Brett
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jan 30th, 2006
Last updated Apr 24th, 2012 - about 12 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 1245201086 NPPES
Oklahoma Other 800522535 MEDICARE GROUP PIN
Oklahoma MEDICAID 100178690A MEDICARE GROUP PIN

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