Smith, Michael Dimock
Smith, Michael Dimock is an sole proprietor health care provider with primary practice located at 1919 N Pearl St Suite C1 , Tacoma WA 98406. He recently has only one registered license in Behavioral Health & Social Service Providers / Mental Health, which is considered as his primary health care specialty. Smith, Michael Dimock can be contacted via phone (253) 752-1860.Contact Information
Primary practice address
1919 N Pearl St Suite C1
Tacoma WA 98406
Phone: (253) 752-1860
Fax: (253) 752-1890
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Mental Health | 101YM0800X | LH00007428 | Washington |
Profile Details
| NPI number | 1679559504 |
|---|---|
| LBN Legal business name | Smith, Michael Dimock |
| Credentials | LMHC |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Dec 22nd, 2005 |
| Last updated | May 10th, 2017 - about 7 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 | 1679559504 | NPPES |
| Other | 7406504 | BLUE CROSS BLUE SHIELD |
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