Skrdla, Matthew J

Skrdla, Matthew J is an individual health care provider with primary practice located at 300 E Foothills Pkwy Ste B, Fort Collins CO 80525-2613. He recently has only one registered license in Eye and Vision Services Providers / Optometrist, which is considered as his primary health care specialty. Skrdla, Matthew J can be contacted via phone (970) 282-7739.

Contact Information

Primary practice address
300 E Foothills Pkwy Ste B Fort Collins CO 80525-2613
Phone: (970) 282-7739
Fax: (970) 226-6654
Website:
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Health care specialties

SpecialtyCodeLicense #State
Eye and Vision Services Providers / Optometrist 152W00000X 2197 Colorado

Profile Details

NPI number 1750377172
LBN Legal business name Skrdla, Matthew J
Credentials Doctor of Optometry (OD)
Entity Individual
Sole proprietor 1 No
Enumeration date Sep 21st, 2005
Last updated May 23rd, 2008 - about 18 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 1750377172 NPPES
Colorado MEDICAID 66574854

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