Stadnyk, Matthew W
Stadnyk, Matthew W is an individual health care provider with primary practice located at 12303 Depaul Dr Depaul Health Center, Bridgeton MO 63044. He recently has only one registered license in Allopathic & Osteopathic Physicians / Diagnostic Radiology, which is considered as his primary health care specialty. Stadnyk, Matthew W can be contacted via phone (314) 344-6350.Contact Information
Primary practice address
12303 Depaul Dr Depaul Health Center
Bridgeton MO 63044
Phone: (314) 344-6350
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Diagnostic Radiology | 2085R0202X | 105955 | Missouri |
Profile Details
| NPI number | 1750313094 |
|---|---|
| LBN Legal business name | Stadnyk, Matthew W |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jul 7th, 2006 |
| Last updated | Mar 3rd, 2021 - about 3 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1750313094 | NPPES |
| Missouri | MEDICAID | 208465724 |
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