Smack, David Phillips
Smack, David Phillips is an sole proprietor health care provider with primary practice located at 5 Caulk Lane Suite 2, 2Nd Floor, Easton MD 21601-4066. He recently has 3 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Dermatology, Allopathic & Osteopathic Physicians / Procedural Dermatology, Allopathic & Osteopathic Physicians / MOHS-Micrographic Surgery. Allopathic & Osteopathic Physicians / MOHS-Micrographic Surgery is his primary health care specialty. Smack, David Phillips can be contacted via phone (410) 822-9890.Contact Information
Primary practice address
5 Caulk Lane Suite 2, 2Nd Floor
Easton MD 21601-4066
Phone: (410) 822-9890
Fax: (410) 763-9536
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Dermatology | 207N00000X | D0040409 | Maryland |
| Allopathic & Osteopathic Physicians / Procedural Dermatology | 207NS0135X | D0040409 | Maryland |
| Allopathic & Osteopathic Physicians / MOHS-Micrographic Surgery | 207ND0101X | D0040409 | Maryland |
Profile Details
| NPI number | 1073501912 |
|---|---|
| LBN Legal business name | Smack, David Phillips |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Oct 13th, 2005 |
| Last updated | Oct 6th, 2020 - about 5 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 | 1073501912 | NPPES |
| Maryland | Other | 070010482 | MC RAILROAD |
| Maryland | Other | 21D0931132 | MC RAILROAD |
| Maryland | Other | KB59TA | MC RAILROAD |
| Maryland | Other | W0170001 | MC RAILROAD |
| Maryland | Other | 248038 | MC RAILROAD |
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