Paul W. Iles Inc.

LBN: Paul W. Iles Inc.
Paul W. Iles Inc. is an health care organization with primary practice located at 2200 E Sunshine St Suite 312, Springfield MO 65804-1819. The organization recently has only one registered license in Ambulatory Health Care Facilities / Clinic/Center, which is considered as the primary health care specialty. Paul W. Iles Inc. can be contacted via phone (417) 881-1580, or through Iles, Paul W via phone (417) 881-1580.

Contact Information

Primary practice address
2200 E Sunshine St Suite 312 Springfield MO 65804-1819
Fax: (417) 881-7004
Website:
Authorized official contact:
Name: Iles, Paul W PSY. D.

Health care specialties

SpecialtyCodeLicense #State
Ambulatory Health Care Facilities / Clinic/Center 261Q00000X 1999140683 Missouri

Profile Details

NPI number 1518284363
LBN Legal business name Paul W. Iles Inc.
DBA Doing business as
Authorized official Iles, Paul W PSY. D.
Entity Organization
Organization subpart 1 No
Enumeration date May 3rd, 2010
Last updated May 3rd, 2010 - about 14 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 1518284363 NPPES
Missouri MEDICAID 122501848
Missouri Other 122501848

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