Liebentritt, Matthew Aaron

Liebentritt, Matthew Aaron is an individual health care provider with primary practice located at 12169 Sheridan Blvd , Broomfield CO 80020-2459. He recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as his primary health care specialty. Liebentritt, Matthew Aaron can be contacted via phone (303) 603-9400.

Contact Information

Primary practice address
12169 Sheridan Blvd Broomfield CO 80020-2459
Phone: (303) 603-9400
Fax: (303) 603-9420
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X 41855 Colorado

Profile Details

NPI number 1053488007
LBN Legal business name Liebentritt, Matthew Aaron
Credentials Doctor of Osteopathy (DO)
Entity Individual
Sole proprietor 1 No
Enumeration date Nov 28th, 2006
Last updated Jun 25th, 2012 - about 13 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 1053488007 NPPES
Colorado MEDICAID 82778868
Colorado Other P00462907

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