Mayer, Nicholas John

Mayer, Nicholas John is an individual health care provider with primary practice located at 1265 Graham Rd Ste 1 , Florissant MO 63031-8018. He recently has only one registered license in Allopathic & Osteopathic Physicians / Nephrology, which is considered as his primary health care specialty. Mayer, Nicholas John can be contacted via phone (314) 741-1600.

Contact Information

Primary practice address
1265 Graham Rd Ste 1 Florissant MO 63031-8018
Phone: (314) 741-1600
Fax: (314) 741-1677
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Nephrology 207RN0300X 036123985 Illinois
Allopathic & Osteopathic Physicians / Nephrology 207RN0300X 2009007663 Missouri

Profile Details

NPI number 1104075597
LBN Legal business name Mayer, Nicholas John
Credentials Doctor of Osteopathy (DO)
Entity Individual
Sole proprietor 1 No
Enumeration date Sep 10th, 2008
Last updated May 22nd, 2024 - about last year

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 1104075597 NPPES
Missouri MEDICAID 1104075597
Missouri MEDICAID 300117440001

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