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Contact Information

PAUL M. PACKMAN INC.
8301 MARYLAND AVE.
SUITE 320
SAINT LOUIS, MO63105
 Phone: 314-727-1666
 Fax: 314-727-5488
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Psychiatry

2084P0800X 26 Physician/Psychiatry
Indicates primary specialty

NPI Profile & details for PAUL M. PACKMAN INC.

NPI Number 1366692303
LBN Legal business name PAUL M. PACKMAN INC.
Authorized official PAUL PACKMAN - (PRESIDENT)
Entity Organization
Organization subpart 1 No
Enumeration date 09/26/2008
Last updated 09/26/2008 - About 18 years ago
Identifiers
MO License # 29193
MO Medicaid 200743300
MO Other 000005191 MO MEDICARE SERVICES
MO Other 826262307 RAILROAD MEDICARE
1 Some organization health care providers are made up of components that furnish different types of health care or have separate physical locations where health care is furnished. These components and physical locations are not themselves legal entities, but are part of the organization health care provider (which is a legal entity). A covered organization provider may decide that its subparts (if it has any) should have their own NPI numbers. If a subpart conducts any HIPAA standard transactions on its own (e.g., separately from its parent), it must obtain its own NPI number.

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