Hinderland, Matthew Diehl

Hinderland, Matthew Diehl is an individual health care provider with primary practice located at 1465 Kelly Johnson Blvd Ste 100 , Colorado Springs CO 80920-3945. He recently has 2 registered licenses in different health care specialties including Podiatric Medicine & Surgery Service Providers / Podiatrist, Podiatric Medicine & Surgery Service Providers / Foot & Ankle Surgery. Podiatric Medicine & Surgery Service Providers / Foot & Ankle Surgery is his primary health care specialty. Hinderland, Matthew Diehl can be contacted via phone (719) 488-4664.

Contact Information

Primary practice address
1465 Kelly Johnson Blvd Ste 100 Colorado Springs CO 80920-3945
Phone: (719) 488-4664
Fax: (719) 488-4667
Website:
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Health care specialties

SpecialtyCodeLicense #State
Podiatric Medicine & Surgery Service Providers / Podiatrist 213E00000X 01521 Maryland
Podiatric Medicine & Surgery Service Providers / Foot & Ankle Surgery 213ES0103X 707 Colorado

Profile Details

NPI number 1003050899
LBN Legal business name Hinderland, Matthew Diehl
Credentials Doctor of Podiatric Medicine (DPM)
Entity Individual
Sole proprietor 1 No
Enumeration date Apr 24th, 2009
Last updated Feb 28th, 2020 - about 5 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 1003050899 NPPES
Colorado MEDICAID 4085040

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