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Contact Information

INGERLISA W MATTOCH, MD
1708 N. BOISE
LOVELAND, CO80538-4204
 Phone: 970-818-6788
 Fax: 970-669-0159
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Dermatopathology

207ZD0900X 22 Physician/Pathology
 

Dermatopathology

207ND0900X 07 Physician/Dermatology
Indicates primary specialty

NPI Profile & details for INGERLISA W MATTOCH · (Female)

NPI # 1306034582
Status Active
Credentials MD
Entity Individual
Enumeration date 10/12/2007
Last updated 02/08/2021 - About 5 years ago
Sole proprietor 1 No
Identifiers
  • CO License # 49136
  • CO License # DR.0049136
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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