Mahaffey, Brian L.

Mahaffey, Brian L. is an individual health care provider with primary practice located at 15945 Clayton Rd Suite 210, Ballwin MO 63011-2490. He recently has only one registered license in Allopathic & Osteopathic Physicians / Sports Medicine, which is considered as his primary health care specialty. Mahaffey, Brian L. can be contacted via phone (314) 251-1556.

Contact Information

Primary practice address
15945 Clayton Rd Suite 210 Ballwin MO 63011-2490
Phone: (314) 251-1556
Fax: (636) 893-1362
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Sports Medicine 207QS0010X 103424 Missouri

Profile Details

NPI number 1306984505
LBN Legal business name Mahaffey, Brian L.
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Feb 1st, 2007
Last updated Aug 30th, 2022 - about 3 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 1306984505 NPPES
Missouri MEDICAID 208254235
Missouri MEDICAID 154946001
Missouri Other 98585
Missouri Other P01317472

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