Stanley, Matthew B

Stanley, Matthew B is an individual health care provider with primary practice located at 4400 W 69Th St Ste 1500, Sioux Falls SD 57108-8170. He recently has only one registered license in Allopathic & Osteopathic Physicians / Psychiatry, which is considered as his primary health care specialty. Stanley, Matthew B can be contacted via phone (605) 322-5700.

Contact Information

Primary practice address
4400 W 69Th St Ste 1500 Sioux Falls SD 57108-8170
Phone: (605) 322-5700
Fax: (605) 322-5704
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Psychiatry 2084P0800X 3964 South Dakota

Profile Details

NPI number 1689646168
LBN Legal business name Stanley, Matthew B
Credentials Doctor of Osteopathy (DO)
Entity Individual
Sole proprietor 1 No
Enumeration date Feb 7th, 2006
Last updated Oct 11th, 2018 - about 7 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 1689646168 NPPES
Minnesota Other 040121002 PRIMEWEST
Minnesota MEDICAID 3148379 PRIMEWEST
Minnesota Other 370624200 PRIMEWEST
Minnesota MEDICAID 46022474352 PRIMEWEST
Minnesota Other 25054 PRIMEWEST
Minnesota MEDICAID 7100963 PRIMEWEST
Minnesota MEDICAID 12200 PRIMEWEST
Minnesota Other 241L8ST PRIMEWEST
Minnesota Other 6438 PRIMEWEST
Minnesota Other HP32074 PRIMEWEST
Minnesota Other 412991017061 PRIMEWEST
Minnesota Other 57108C021 PRIMEWEST
Minnesota Other 3964 PRIMEWEST
Minnesota MEDICAID 619014600 PRIMEWEST
Minnesota Other 23018 PRIMEWEST
Minnesota Other 4995812 PRIMEWEST

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