Casey, Matthew
Casey, Matthew is an individual health care provider with primary practice located at 339 Consort Dr , Ballwin MO 63011-4439. He recently has only one registered license in Allopathic & Osteopathic Physicians / Anesthesiology, which is considered as his primary health care specialty. Casey, Matthew can be contacted via phone (636) 386-9224.Contact Information
Primary practice address
339 Consort Dr
Ballwin MO 63011-4439
Phone: (636) 386-9224
Fax: (636) 386-7679
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Anesthesiology | 207L00000X | 036-115992 | Illinois |
Profile Details
| NPI number | 1912922014 |
|---|---|
| LBN Legal business name | Casey, Matthew |
| Credentials | |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jul 12th, 2006 |
| Last updated | Mar 9th, 2011 - about 14 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 | 1912922014 | NPPES |
| Illinois | MEDICAID | 036115992 |
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