Thibdeau, Matthew L
Thibdeau, Matthew L is an individual health care provider with primary practice located at 300 Exempla Cir Suite 360, Lafayette CO 80026-3397. He recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Surgical, which is considered as his primary health care specialty. Thibdeau, Matthew L can be contacted via phone (303) 689-6560.Contact Information
Primary practice address
300 Exempla Cir Suite 360
Lafayette CO 80026-3397
Phone: (303) 689-6560
Fax: (303) 689-6550
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Physician Assistants & Advanced Practice Nursing Providers / Surgical | 363AS0400X | PA-3205 | Colorado |
Profile Details
| NPI number | 1235324237 |
|---|---|
| LBN Legal business name | Thibdeau, Matthew L |
| Credentials | RPA-C |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Sep 12th, 2007 |
| Last updated | Sep 13th, 2011 - 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1235324237 | NPPES |
| Colorado | MEDICAID | 97708585 |
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