Colligan, Matthew Brendon

Colligan, Matthew Brendon is an individual health care provider with primary practice located at 1715 Dousman St , Green Bay WI 54303-3211. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Neuromusculoskeletal Medicine, Sports Medicine, Allopathic & Osteopathic Physicians / Orthopaedic Surgery. Allopathic & Osteopathic Physicians / Orthopaedic Surgery is his primary health care specialty. Colligan, Matthew Brendon can be contacted via phone (920) 496-4700.

Contact Information

Primary practice address
1715 Dousman St Green Bay WI 54303-3211
Phone: (920) 496-4700
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Neuromusculoskeletal Medicine, Sports Medicine 204C00000X OS9282 Florida
Allopathic & Osteopathic Physicians / Orthopaedic Surgery 207X00000X 5101014350 Michigan
Allopathic & Osteopathic Physicians / Orthopaedic Surgery 207X00000X 63648-21 Wisconsin

Profile Details

NPI number 1174528202
LBN Legal business name Colligan, Matthew Brendon
Credentials Doctor of Osteopathy (DO)
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 16th, 2005
Last updated Mar 26th, 2015 - about 9 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 1174528202 NPPES
Michigan MEDICAID 4820631
Michigan MEDICAID 270390400

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