Smith, Richard L
Smith, Richard L is an individual health care provider with primary practice located at 1805 Bancroft St , Missoula MT 59801-5781. He recently has only one registered license in Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapist, which is considered as his primary health care specialty. Smith, Richard L can be contacted via phone (406) 543-4890.Contact Information
Primary practice address
1805 Bancroft St
Missoula MT 59801-5781
Phone: (406) 543-4890
Fax: (406) 543-4892
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapist | 225100000X | 328PT | Montana |
Profile Details
| NPI number | 1811952211 |
|---|---|
| LBN Legal business name | Smith, Richard L |
| Credentials | Physical Therapist (PT) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Apr 19th, 2006 |
| Last updated | Dec 21st, 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1811952211 | NPPES |
| Montana | MEDICAID | 0347089 |
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