Smith, Richard L

Smith, Richard L is an individual health care provider with primary practice located at 1805 Bancroft St , Missoula MT 59801-5781. He recently has only one registered license in Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapist, which is considered as his primary health care specialty. Smith, Richard L can be contacted via phone (406) 543-4890.

Contact Information

Primary practice address
1805 Bancroft St Missoula MT 59801-5781
Phone: (406) 543-4890
Fax: (406) 543-4892
Website:
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Health care specialties

SpecialtyCodeLicense #State
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapist 225100000X 328PT Montana

Profile Details

NPI number 1811952211
LBN Legal business name Smith, Richard L
Credentials Physical Therapist (PT)
Entity Individual
Sole proprietor 1 No
Enumeration date Apr 19th, 2006
Last updated Dec 21st, 2007 - about 18 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 1811952211 NPPES
Montana MEDICAID 0347089

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