Smith, Matthew Vernon

Smith, Matthew Vernon is an individual health care provider with primary practice located at 14532 S Outer 40 Rd Dept Orthopaedic Surg, Dept Ste 200, Chesterfield MO 63017-5705. He recently has only one registered license in Allopathic & Osteopathic Physicians / Sports Medicine, which is considered as his primary health care specialty. Smith, Matthew Vernon can be contacted via phone (314) 514-3913.

Contact Information

Primary practice address
14532 S Outer 40 Rd Dept Orthopaedic Surg, Dept Ste 200 Chesterfield MO 63017-5705
Phone: (314) 514-3913
Fax: (314) 514-3534
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Sports Medicine 207XX0005X 2009015783 Missouri

Profile Details

NPI number 1457567430
LBN Legal business name Smith, Matthew Vernon
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date May 15th, 2007
Last updated Apr 25th, 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1457567430 NPPES
Missouri MEDICAID 209359207

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