Liberator, Matthew A.

Liberator, Matthew A. is an sole proprietor health care provider with primary practice located at 9504 E 63Rd St Suite 213, Raytown MO 64133-4948. He recently has only one registered license in Behavioral Health & Social Service Providers / Professional, which is considered as his primary health care specialty. Liberator, Matthew A. can be contacted via phone (913) 894-3550.

Contact Information

Primary practice address
9504 E 63Rd St Suite 213 Raytown MO 64133-4948
Phone: (913) 894-3550
Fax: (816) 356-0894
Website:
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Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Professional 101YP2500X 001215 Missouri

Profile Details

NPI number 1215016654
LBN Legal business name Liberator, Matthew A.
Credentials Licensed Professional Counselor (LPC)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Nov 5th, 2006
Last updated Jul 9th, 2007 - about 19 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 1215016654 NPPES
Missouri Other 20641015 BLUE CROSS BLUESHIELD

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