Stayman, Mathew Lloyd

Stayman, Mathew Lloyd is an individual health care provider with primary practice located at 929 Central Ave Nw , East Grand Forks MN 56721-1917. He recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as his primary health care specialty. Stayman, Mathew Lloyd can be contacted via phone (218) 773-6800.

Contact Information

Primary practice address
929 Central Ave Nw East Grand Forks MN 56721-1917
Phone: (218) 773-6800
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X 8225 North Dakota
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X 44098 Minnesota

Profile Details

NPI number 1548217268
LBN Legal business name Stayman, Mathew Lloyd
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date May 28th, 2006
Last updated Oct 27th, 2022 - about 2 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.

Request for update

Identifiers

StateTypeNumberIssuer
All States NPI 1548217268 NPPES
North Dakota Other 26485 BCBS
North Dakota MEDICAID 10952 BCBS
North Dakota Other 500M3ST BCBS
North Dakota Other HP34258 BCBS
North Dakota Other 0123580 BCBS
North Dakota MEDICAID 991483800 BCBS
North Dakota Other NA4571028643 BCBS

Popular Providers