Smerz, Paul Marlin

Smerz, Paul Marlin is an individual health care provider with primary practice located at 6110 N Port Washington Rd , Glendale WI 53217-4308. He recently has only one registered license in Behavioral Health & Social Service Providers / Clinical, which is considered as his primary health care specialty. Smerz, Paul Marlin can be contacted via phone (414) 332-7400.

Contact Information

Primary practice address
6110 N Port Washington Rd Glendale WI 53217-4308
Fax: (414) 963-6866
Website:

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Clinical 103TC0700X 1242-057 Wisconsin

Profile Details

NPI number 1922168574
LBN Legal business name Smerz, Paul Marlin
Credentials PH.D.
Entity Individual
Sole proprietor 1 No
Enumeration date Dec 12th, 2006
Last updated Mar 15th, 2018 - about 8 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 1922168574 NPPES
Wisconsin MEDICAID 39044000

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