Claxton, Matthew Jay

Claxton, Matthew Jay is an individual health care provider with primary practice located at 4201 S Cloverleaf Dr , Saint Peters MO 63376-6438. 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. Claxton, Matthew Jay can be contacted via phone (636) 928-1240.

Contact Information

Primary practice address
4201 S Cloverleaf Dr Saint Peters MO 63376-6438
Phone: (636) 928-1240
Fax: (636) 928-1242
Website:
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Health care specialties

SpecialtyCodeLicense #State
Podiatric Medicine & Surgery Service Providers / Foot & Ankle Surgery 213ES0103X 2003013610 Missouri

Profile Details

NPI number 1457466989
LBN Legal business name Claxton, Matthew Jay
Credentials Doctor of Podiatric Medicine (DPM)
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 21st, 2006
Last updated Nov 6th, 2015 - about 10 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 1457466989 NPPES
Illinois MEDICAID 016005131
Illinois MEDICAID 309013308
Illinois Other P00171525

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