Materka, Stanley Anthony

Materka, Stanley Anthony is an sole proprietor health care provider with primary practice located at 1000 Harrington Blvd , Mt Clemens MI 48043. He recently has only one registered license in Allopathic & Osteopathic Physicians / Emergency Medicine, which is considered as his primary health care specialty. Materka, Stanley Anthony can be contacted via phone (586) 493-8000.

Contact Information

Primary practice address
1000 Harrington Blvd Mt Clemens MI 48043
Phone: (586) 493-8000
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Emergency Medicine 207P00000X 5101007669 Michigan

Profile Details

NPI number 1932294881
LBN Legal business name Materka, Stanley Anthony
Credentials Doctor of Osteopathy (DO)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Oct 4th, 2006
Last updated May 16th, 2008 - about 16 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 1932294881 NPPES
Michigan Other 0155000555 BCBS
Michigan MEDICAID 111389975 BCBS

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