Simonich, Matthew P.
Simonich, Matthew P. is an individual health care provider with primary practice located at 1919 W Us Highway 50 , Pueblo CO 81008-1618. He recently has only one registered license in Allopathic & Osteopathic Physicians / Orthopaedic Surgery, which is considered as his primary health care specialty. Simonich, Matthew P. can be contacted via phone (719) 253-7102.Contact Information
Primary practice address
1919 W Us Highway 50
Pueblo CO 81008-1618
Phone: (719) 253-7102
Fax: (719) 253-7114
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Allopathic & Osteopathic Physicians / Orthopaedic Surgery | 207X00000X | CO36912 | Colorado |
Profile Details
NPI number | 1790755056 |
---|---|
LBN Legal business name | Simonich, Matthew P. |
Credentials | Doctor of Medicine (MD) |
Entity | Individual |
Sole proprietor 1 | No |
Enumeration date | Jan 26th, 2006 |
Last updated | May 16th, 2014 - about 10 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 | 1790755056 | NPPES |
Colorado | MEDICAID | 01369123 |
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