Mathew, Stanley

Mathew, Stanley is an individual health care provider with primary practice located at 201 Bjc Saint Peters Dr Ste 200, Saint Peters MO 63376-3385. He recently has only one registered license in Allopathic & Osteopathic Physicians / Endocrinology, Diabetes & Metabolism, which is considered as his primary health care specialty. Mathew, Stanley can be contacted via phone (636) 916-9515.

Contact Information

Primary practice address
201 Bjc Saint Peters Dr Ste 200 Saint Peters MO 63376-3385
Fax: (636) 916-9848
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Endocrinology, Diabetes & Metabolism 207RE0101X MD 105334 Missouri

Profile Details

NPI number 1376644484
LBN Legal business name Mathew, Stanley
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Sep 25th, 2006
Last updated Mar 29th, 2021 - 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 1376644484 NPPES
Missouri MEDICAID 208912121
Missouri MEDICAID 208912147

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