Smith, William Michael
Smith, William Michael is an individual health care provider with primary practice located at 640 Gooseberry Dr Unit 908 , Longmont CO 80503-6434. He recently has only one registered license in Behavioral Health & Social Service Providers / Clinical, which is considered as his primary health care specialty. Smith, William Michael can be contacted via phone (303) 651-9290.Contact Information
Primary practice address
640 Gooseberry Dr Unit 908
Longmont CO 80503-6434
Phone: (303) 651-9290
Fax: (303) 651-7158
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Clinical | 103TC0700X | 2110 | Colorado |
Profile Details
| NPI number | 1518906361 |
|---|---|
| LBN Legal business name | Smith, William Michael |
| Credentials | PH.D. |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jun 6th, 2006 |
| Last updated | May 9th, 2013 - about 12 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 | 1518906361 | NPPES |
| Colorado | MEDICAID | 07211014 |
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