Mattingly, Gregory Warren

Mattingly, Gregory Warren is an sole proprietor health care provider with primary practice located at 330 1St Capitol Dr Ste 390, Saint Charles MO 63301-2852. He recently has only one registered license in Allopathic & Osteopathic Physicians / Psychiatry, which is considered as his primary health care specialty. Mattingly, Gregory Warren can be contacted via phone (636) 949-5760.

Contact Information

Primary practice address
330 1St Capitol Dr Ste 390 Saint Charles MO 63301-2852
Phone: (636) 949-5760
Fax: (636) 949-0729
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Psychiatry 2084P0800X 102964 Missouri

Profile Details

NPI number 1215933379
LBN Legal business name Mattingly, Gregory Warren
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jun 23rd, 2005
Last updated Jan 26th, 2017 - about 8 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 1215933379 NPPES
Other 17646 BLUE CROSS BLUE SHIELD
Other 212683 BLUE CROSS BLUE SHIELD

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