Mathios, Dimitrios
Mathios, Dimitrios is an individual health care provider with primary practice located at 4500 Forest Park Ave Dept Neurological Surgery, Ste 1B, Saint Louis MO 63108-2114. He recently has only one registered license in Allopathic & Osteopathic Physicians / Neurological Surgery, which is considered as his primary health care specialty. Mathios, Dimitrios can be contacted via phone (314) 362-3577.Contact Information
Primary practice address
4500 Forest Park Ave Dept Neurological Surgery, Ste 1B
Saint Louis MO 63108-2114
Phone: (314) 362-3577
Fax: (314) 362-2107
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Neurological Surgery | 207T00000X | 2023027385 | Missouri |
Profile Details
| NPI number | 1568857373 |
|---|---|
| LBN Legal business name | Mathios, Dimitrios |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Mar 30th, 2015 |
| Last updated | Apr 17th, 2025 - about last year |
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 | 1568857373 | NPPES |
| Missouri | MEDICAID | 200126634 |
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