Smock, Paul L

Smock, Paul L is an individual health care provider with primary practice located at 134 N Water St , Liberty MO 64068-1737. He recently has only one registered license in Behavioral Health & Social Service Providers / Clinical, which is considered as his primary health care specialty. Smock, Paul L can be contacted via phone (816) 781-6690.

Contact Information

Primary practice address
134 N Water St Liberty MO 64068-1737
Phone: (816) 781-6690
Fax: (816) 781-2897
Website:
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Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Clinical 103TC0700X PY00383 Missouri

Profile Details

NPI number 1225121023
LBN Legal business name Smock, Paul L
Credentials PH.D.
Entity Individual
Sole proprietor 1 No
Enumeration date Oct 2nd, 2006
Last updated Jun 16th, 2010 - about 16 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 1225121023 NPPES
Other 680001581 MEDICARE ID RAILROAD

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