Matheson, Brett K

Matheson, Brett K is an sole proprietor health care provider with primary practice located at 1975 Research Pkwy Ste 165 , Colorado Spgs CO 80920-1026. He recently has only one registered license in Allopathic & Osteopathic Physicians / MOHS-Micrographic Surgery, which is considered as his primary health care specialty. Matheson, Brett K can be contacted via phone (719) 574-0310.

Contact Information

Primary practice address
1975 Research Pkwy Ste 165 Colorado Spgs CO 80920-1026
Phone: (719) 574-0310
Fax: (719) 574-6574
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / MOHS-Micrographic Surgery 207ND0101X 35631 Colorado

Profile Details

NPI number 1427043579
LBN Legal business name Matheson, Brett K
Credentials M.D., FACMS
Entity Individual
Sole proprietor 1 Yes
Enumeration date Sep 14th, 2005
Last updated Dec 7th, 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1427043579 NPPES
Colorado MEDICAID 01356310

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