Hanen Smith, Michel E

Hanen Smith, Michel E is an sole proprietor health care provider with primary practice located at 4323 E Lake St , Minneapolis MN 55406-2307. He recently has 3 registered licenses in different health care specialties including Eye and Vision Services Providers / Optometrist, Eye and Vision Services Providers / Corneal and Contact Management, Eye and Vision Services Providers / Occupational Vision. Eye and Vision Services Providers / Optometrist is his primary health care specialty. Hanen Smith, Michel E can be contacted via phone (612) 722-1003.

Contact Information

Primary practice address
4323 E Lake St Minneapolis MN 55406-2307
Phone: (612) 722-1003
Fax: (612) 721-6331
Website:
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Health care specialties

SpecialtyCodeLicense #State
Eye and Vision Services Providers / Optometrist 152W00000X LD1652000 Minnesota
Eye and Vision Services Providers / Corneal and Contact Management 152WC0802X LD1652000 Minnesota
Eye and Vision Services Providers / Occupational Vision 152WX0102X LD1652000 Minnesota
Eye and Vision Services Providers / Occupational Vision 152WX0102X 362 North Dakota

Profile Details

NPI number 1326119223
LBN Legal business name Hanen Smith, Michel E
Credentials O.D., M..S
Entity Individual
Sole proprietor 1 Yes
Enumeration date Nov 13th, 2006
Last updated Dec 27th, 2013 - about 11 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 1326119223 NPPES
Minnesota Other 06314HA CLINIC BCBS
Minnesota Other 2115985 CLINIC BCBS
Minnesota Other 19312 CLINIC BCBS
Minnesota MEDICAID 333023100 CLINIC BCBS
Minnesota Other 101856 CLINIC BCBS
Minnesota Other 0748240001 CLINIC BCBS
Minnesota Other 2202001 CLINIC BCBS
Minnesota Other 00621001 CLINIC BCBS
Minnesota Other 2202691 CLINIC BCBS
Minnesota Other 411459852017 CLINIC BCBS
Minnesota Other 5C003HA CLINIC BCBS
Minnesota Other 3M197HA CLINIC BCBS

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