Moffitt, William Albert

Moffitt, William Albert is an individual health care provider with primary practice located at 3515 S 4Th Street Professional Association, Leavenworth KS 66048. He recently has only one registered license in Behavioral Health & Social Service Providers / Psychologist, which is considered as his primary health care specialty. Moffitt, William Albert can be contacted via phone (913) 651-8415.

Contact Information

Primary practice address
3515 S 4Th Street Professional Association Leavenworth KS 66048
Phone: (913) 651-8415
Fax: (913) 772-8580
Website:
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Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Psychologist 103T00000X 675 Kansas
Behavioral Health & Social Service Providers / Psychologist 103T00000X R0333 Missouri

Profile Details

NPI number 1417052614
LBN Legal business name Moffitt, William Albert
Credentials PHD
Entity Individual
Sole proprietor 1 No
Enumeration date Sep 13th, 2006
Last updated Jul 8th, 2007 - about 17 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 1417052614 NPPES
Kansas Other 19924039 BCBS OF KC KS
Kansas Other 004517 BCBS OF KC KS
Kansas Other 2008188 BCBS OF KC KS
Kansas Other 066956 BCBS OF KC KS
Kansas Other B011 BCBS OF KC KS
Kansas Other 4285605 BCBS OF KC KS

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