Stauffer, Matthew Eric

Stauffer, Matthew Eric is an individual health care provider with primary practice located at 9555 76Th St , Pleasant Prairie WI 53158-1984. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Emergency Medicine, Student, Health Care / Student in an Organized Health Care Education/Training Program. Allopathic & Osteopathic Physicians / Emergency Medicine is his primary health care specialty. Stauffer, Matthew Eric can be contacted via phone (414) 290-6720.

Contact Information

Primary practice address
9555 76Th St Pleasant Prairie WI 53158-1984
Phone: (414) 290-6720
Fax: (414) 290-6755
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Emergency Medicine 207P00000X 4301097287 Michigan
Student, Health Care / Student in an Organized Health Care Education/Training Program 390200000X 4301097287 Michigan
Allopathic & Osteopathic Physicians / Emergency Medicine 207P00000X 61053-20 Wisconsin

Profile Details

NPI number 1497066732
LBN Legal business name Stauffer, Matthew Eric
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 1st, 2010
Last updated May 7th, 2015 - about 9 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 1497066732 NPPES
Illinois MEDICAID 1497066732
Illinois Other P01319713
Illinois Other P01269460
Illinois MEDICAID 1497066732

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