Nissing, Matthew H
Nissing, Matthew H is an individual health care provider with primary practice located at 915 N Grand Blvd , Saint Louis MO 63106-1621. He recently has only one registered license in Allopathic & Osteopathic Physicians / Gastroenterology, which is considered as his primary health care specialty. Nissing, Matthew H can be contacted via phone (314) 289-6434.Contact Information
Primary practice address
915 N Grand Blvd
Saint Louis MO 63106-1621
Phone: (314) 289-6434
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Gastroenterology | 207RG0100X | 2002007106 | Missouri |
Profile Details
| NPI number | 1558324418 |
|---|---|
| LBN Legal business name | Nissing, Matthew H |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Apr 10th, 2006 |
| Last updated | Apr 3rd, 2024 - about 8 months 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1558324418 | NPPES |
| Missouri | MEDICAID | 200603702 |
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