Manry, Matthew William
Manry, Matthew William is an individual health care provider with primary practice located at 1400 Dry Creek Dr , Longmont CO 80503. He recently has only one registered license in Allopathic & Osteopathic Physicians / Retina Specialist, which is considered as his primary health care specialty. Manry, Matthew William can be contacted via phone (303) 772-3300.Contact Information
Primary practice address
1400 Dry Creek Dr
Longmont CO 80503
Phone: (303) 772-3300
Fax: (303) 682-3380
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Allopathic & Osteopathic Physicians / Retina Specialist | 207WX0107X | DR.0060309 | Colorado |
Profile Details
NPI number | 1366735243 |
---|---|
LBN Legal business name | Manry, Matthew William |
Credentials | Doctor of Medicine (MD) |
Entity | Individual |
Sole proprietor 1 | No |
Enumeration date | May 25th, 2011 |
Last updated | Jul 31st, 2018 - about 7 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.
Identifiers
State | Type | Number | Issuer |
---|---|---|---|
All States | NPI | 1366735243 | NPPES |
Colorado | MEDICAID | 9000163774 |
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