Mayer, Nicholas John
Mayer, Nicholas John is an individual health care provider with primary practice located at 1265 Graham Rd Ste 1 , Florissant MO 63031-8018. He recently has only one registered license in Allopathic & Osteopathic Physicians / Nephrology, which is considered as his primary health care specialty. Mayer, Nicholas John can be contacted via phone (314) 741-1600.Contact Information
Primary practice address
1265 Graham Rd Ste 1
Florissant MO 63031-8018
Phone: (314) 741-1600
Fax: (314) 741-1677
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Nephrology | 207RN0300X | 036123985 | Illinois |
| Allopathic & Osteopathic Physicians / Nephrology | 207RN0300X | 2009007663 | Missouri |
Profile Details
| NPI number | 1104075597 |
|---|---|
| LBN Legal business name | Mayer, Nicholas John |
| Credentials | Doctor of Osteopathy (DO) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Sep 10th, 2008 |
| Last updated | May 22nd, 2024 - 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1104075597 | NPPES |
| Missouri | MEDICAID | 1104075597 | |
| Missouri | MEDICAID | 300117440001 |
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