Mitchell-Smith, Alice M
Mitchell-Smith, Alice M is an individual health care provider with primary practice located at 1701 N Senate Blvd Rm Dg412, Indianapolis IN 46202-1239. She recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Emergency Medicine, Allopathic & Osteopathic Physicians / Diagnostic Ultrasound. Allopathic & Osteopathic Physicians / Emergency Medicine is her primary health care specialty. Mitchell-Smith, Alice M can be contacted via phone (317) 963-1400.Contact Information
Primary practice address
1701 N Senate Blvd Rm Dg412
Indianapolis IN 46202-1239
Phone: (317) 963-1400
Fax: (317) 962-4950
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Emergency Medicine | 207P00000X | 200400555 | North Carolina |
| Allopathic & Osteopathic Physicians / Emergency Medicine | 207P00000X | 01070795A | Indiana |
| Allopathic & Osteopathic Physicians / Diagnostic Ultrasound | 2085U0001X | 200400555 | North Carolina |
Profile Details
| NPI number | 1043234024 |
|---|---|
| LBN Legal business name | Mitchell-Smith, Alice M |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jul 26th, 2006 |
| Last updated | Mar 2nd, 2015 - about 10 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 | 1043234024 | NPPES |
| North Carolina | MEDICAID | 891372H | |
| North Carolina | MEDICAID | N0055D | |
| North Carolina | Other | 1372H | |
| North Carolina | MEDICAID | 201061700 |
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