Harrison, Michael Richard

Harrison, Michael Richard is an individual health care provider with primary practice located at 5 Westowne St Ste 501, Liberty MO 64068-3512. He recently has only one registered license in Behavioral Health & Social Service Providers / Clinical, which is considered as his primary health care specialty. Harrison, Michael Richard can be contacted via phone (816) 781-2110.

Contact Information

Primary practice address
5 Westowne St Ste 501 Liberty MO 64068-3512
Phone: (816) 781-2110
Fax: (816) 781-2312
Website:
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Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Clinical 103TC0700X 00832 Missouri

Profile Details

NPI number 1063563559
LBN Legal business name Harrison, Michael Richard
Credentials PH.D.
Entity Individual
Sole proprietor 1 No
Enumeration date Jan 13th, 2007
Last updated Jan 5th, 2012 - about 14 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 1063563559 NPPES
Other 680014553 RAILROAD MEDICARE

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