Individual
MICHAEL STUART SHADWELL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
3814 WILMINGTON AVE, SAINT LOUIS, MO 63116-3221
(312) 420-9119
Mailing address
3814 WILMINGTON AVE, SAINT LOUIS, MO 63116-3221
(312) 420-9119
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
RBT-19-89344
MO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
R181353039
DRIVERS LICENSE
MO
Enumeration date
09/08/2019
Last updated
09/08/2019
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Contact us