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:
Map and Directions

Health care specialties

SpecialtyCodeLicense #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 14 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 1235324237 NPPES
Colorado MEDICAID 97708585

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