Angleman, Matthew Ryan
Angleman, Matthew Ryan is an sole proprietor health care provider with primary practice located at 640 Grand Ave , Grand Junction CO 81501-2738. He recently has 2 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder), Behavioral Health & Social Service Providers / Mental Health. Behavioral Health & Social Service Providers / Mental Health is his primary health care specialty. Angleman, Matthew Ryan can be contacted via phone (970) 549-0183.Contact Information
Primary practice address
640 Grand Ave
Grand Junction CO 81501-2738
Phone: (970) 549-0183
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder) | 101YA0400X | ||
| Behavioral Health & Social Service Providers / Mental Health | 101YM0800X | LPC.0014852 | Colorado |
Profile Details
| NPI number | 1851767305 |
|---|---|
| LBN Legal business name | Angleman, Matthew Ryan |
| Credentials | Master of Arts (MA) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Aug 19th, 2015 |
| Last updated | Aug 30th, 2020 - about 6 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 | 1851767305 | NPPES |
| Colorado | MEDICAID | 1982865580 |
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