Terra, Matthew G.

Terra, Matthew G. is an individual health care provider with primary practice located at 1601 E 19Th Ave Ste 3700, Denver CO 80218-1216. He recently has only one registered license in Other Service Providers / Specialist, which is considered as his primary health care specialty. Terra, Matthew G. can be contacted via phone (303) 831-4774.

Contact Information

Primary practice address
1601 E 19Th Ave Ste 3700 Denver CO 80218-1216
Phone: (303) 831-4774
Fax: (303) 839-7750
Website:
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Health care specialties

SpecialtyCodeLicense #State
Other Service Providers / Specialist 174400000X 36795 Colorado

Profile Details

NPI number 1720265846
LBN Legal business name Terra, Matthew G.
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jan 31st, 2008
Last updated Oct 22nd, 2014 - about 12 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 1720265846 NPPES
Colorado Other 36795 LICENSE
Colorado MEDICAID 42406846 LICENSE

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