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:
Health care specialties
Specialty | Code | License # | 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 10 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 | 1497066732 | NPPES |
Illinois | MEDICAID | 1497066732 | |
Illinois | Other | P01319713 | |
Illinois | Other | P01269460 | |
Illinois | MEDICAID | 1497066732 |
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