Earles, Matthew Austin
Earles, Matthew Austin is an individual health care provider with primary practice located at 1400 E Boulder St , Colorado Springs CO 80909-5533. He recently has 3 registered licenses in different health care specialties including Physician Assistants & Advanced Practice Nursing Providers / Family, Nursing Service Providers / Emergency, Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner. Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner is his primary health care specialty. Earles, Matthew Austin can be contacted via phone (729) 365-5000.Contact Information
Primary practice address
1400 E Boulder St
Colorado Springs CO 80909-5533
Phone: (729) 365-5000
Fax: (303) 306-7753
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Physician Assistants & Advanced Practice Nursing Providers / Family | 363LF0000X | 102209 | Oklahoma |
| Nursing Service Providers / Emergency | 163WE0003X | 102209 | Oklahoma |
| Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner | 363L00000X | APN.0992714.NP | Colorado |
Profile Details
| NPI number | 1811367139 |
|---|---|
| LBN Legal business name | Earles, Matthew Austin |
| Credentials | MSN, MBA, FNP-BC |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Sep 29th, 2015 |
| Last updated | Apr 4th, 2017 - about 9 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 | 1811367139 | NPPES |
| Colorado | Other | APN.0992714.NP | NP LICENSE |
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