Mattson, Daniel T

Mattson, Daniel T is an individual health care provider with primary practice located at 12266 De Paul Dr Ste 100 , Bridgeton MO 63044-2541. He recently has only one registered license in Allopathic & Osteopathic Physicians / Neurology, which is considered as his primary health care specialty. Mattson, Daniel T can be contacted via phone (314) 738-2770.

Contact Information

Primary practice address
12266 De Paul Dr Ste 100 Bridgeton MO 63044-2541
Phone: (314) 738-2770
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Neurology 2084N0400X 036111157 Illinois
Allopathic & Osteopathic Physicians / Neurology 2084N0400X 2004003731 Missouri

Profile Details

NPI number 1447237870
LBN Legal business name Mattson, Daniel T
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Dec 28th, 2005
Last updated Oct 23rd, 2020 - about 5 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 1447237870 NPPES
Missouri MEDICAID 207277104

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