Whalio Doctors

NPI 1023460854

Matt Glass

Practitioner Home Modifications Contractor Lakewood, CO

Practice location

Address
3900 S Wadsworth Blvd STE 200, Lakewood, CO 80235-2203
Phone
(720) 504-0126
Mailing address
1460 W Canal CT, Littleton, CO 80120-5632

Registered specialties (13)

Home Modifications Contractor Primary
Other Service Providers Taxonomy 171WH0202X Licence 2705156243 (VA)
Home Modifications Contractor
Other Service Providers Taxonomy 171WH0202X Licence 2014605400 (DE)
Home Modifications Contractor
Other Service Providers Taxonomy 171WH0202X Licence 44690 (NE)
Home Modifications Contractor
Other Service Providers Taxonomy 171WH0202X Licence PA112522 (PA)
Home Modifications Contractor
Other Service Providers Taxonomy 171WH0202X Licence CC AITHRDI864M9 (WA)
Home Modifications Contractor
Other Service Providers Taxonomy 171WH0202X Licence 882879 (LA)
Home Modifications Contractor
Other Service Providers Taxonomy 171WH0202X Licence 132123 (MD)
Home Modifications Contractor
Other Service Providers Taxonomy 171WH0202X Licence BC663730 (MN)
Home Modifications Contractor
Other Service Providers Taxonomy 171WH0202X Licence R17613 (MS)
Home Modifications Contractor
Other Service Providers Taxonomy 171WH0202X Licence 79204 (NV)
Home Modifications Contractor
Other Service Providers Taxonomy 171WH0202X Licence 379703 (NM)
Home Modifications Contractor
Other Service Providers Taxonomy 171WH0202X Licence 206632 (OR)
Home Modifications Contractor
Other Service Providers Taxonomy 171WH0202X Licence 1001047 (CA)

Registry record

NPI
1023460854
Entity type
Individual
Sex (as registered)
Male
NPI issued
5 Jul 2016
Record last updated
5 Jul 2016

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.