Skrdla, Matthew J
Skrdla, Matthew J is an individual health care provider with primary practice located at 300 E Foothills Pkwy Ste B, Fort Collins CO 80525-2613. He recently has only one registered license in Eye and Vision Services Providers / Optometrist, which is considered as his primary health care specialty. Skrdla, Matthew J can be contacted via phone (970) 282-7739.Contact Information
Primary practice address
300 E Foothills Pkwy Ste B
Fort Collins CO 80525-2613
Phone: (970) 282-7739
Fax: (970) 226-6654
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Eye and Vision Services Providers / Optometrist | 152W00000X | 2197 | Colorado |
Profile Details
| NPI number | 1750377172 |
|---|---|
| LBN Legal business name | Skrdla, Matthew J |
| Credentials | Doctor of Optometry (OD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Sep 21st, 2005 |
| Last updated | May 23rd, 2008 - about 16 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 | 1750377172 | NPPES |
| Colorado | MEDICAID | 66574854 |
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