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Contact Information

MATTHEW CASEY
339 CONSORT DR
BALLWIN, MO63011-4439
 Phone: 636-386-9224
 Fax: 636-386-7679
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Anesthesiology

207L00000X 79 Physician/Addiction Medicine
Indicates primary specialty

NPI Profile & details for MATTHEW CASEY · (Male)

NPI # 1912922014
Status Active
Credentials
Entity Individual
Enumeration date 07/12/2006
Last updated 03/09/2011 - About 15 years ago
Sole proprietor 1 No
Identifiers
  • IL License # 036-115992
  • IL Medicaid 036115992
Hospital affiliation(s)
  • MERCY HOSPITAL ST LOUIS - (Acute Care)
    615 NEW BALLAS ROAD
    SAINT LOUIS, MO 63141
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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