<Unavail>

LBN: Wm Michael Smith Phd Pc
<Unavail> is an health care organization with primary practice located at 2919 17Th Ave Suite 210, Longmont CO 80503-1650. The organization recently has only one registered license in Behavioral Health & Social Service Providers / Clinical, which is considered as the primary health care specialty. Wm Michael Smith Phd Pc can be contacted via phone (303) 651-9290, or through Smith, William Michael via phone (303) 651-9290.

Contact Information

Primary practice address
2919 17Th Ave Suite 210 Longmont CO 80503-1650
Phone: (303) 651-9290
Fax: (303) 651-7158
Website:
Map and Directions
Authorized official contact:
Name: Smith, William Michael PHD
Phone: (303) 651-9290

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Clinical 103TC0700X 2110 Colorado

Profile Details

NPI number 1316021801
LBN Legal business name Wm Michael Smith Phd Pc
DBA Doing business as <Unavail>
Authorized official Smith, William Michael PHD
Entity Organization
Organization subpart 1 No
Enumeration date Oct 24th, 2006
Last updated Nov 13th, 2007 - about 19 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1316021801 NPPES
Colorado MEDICAID 07211014

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