Powell, Matthew A

Powell, Matthew A is an individual health care provider with primary practice located at 4921 Parkview Pl Div Obgyn Gynecologic Oncology, Ste 13C, Saint Louis MO 63110-1032. He recently has only one registered license in Allopathic & Osteopathic Physicians / Gynecologic Oncology, which is considered as his primary health care specialty. Powell, Matthew A can be contacted via phone (314) 362-3181.

Contact Information

Primary practice address
4921 Parkview Pl Div Obgyn Gynecologic Oncology, Ste 13C Saint Louis MO 63110-1032
Phone: (314) 362-3181
Fax: (314) 362-2893
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Gynecologic Oncology 207VX0201X 118596 Missouri

Profile Details

NPI number 1609894187
LBN Legal business name Powell, Matthew A
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 17th, 2006
Last updated Apr 25th, 2024 - about 7 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1609894187 NPPES
Missouri MEDICAID 205836307

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