Smalley, Mark

Smalley, Mark is an individual health care provider with primary practice located at 3950 Hollywood Rd Suite 270, Saint Joseph MI 49085-9159. He recently has only one registered license in Allopathic & Osteopathic Physicians / Internal Medicine, which is considered as his primary health care specialty. Smalley, Mark can be contacted via phone (269) 982-7840.

Contact Information

Primary practice address
3950 Hollywood Rd Suite 270 Saint Joseph MI 49085-9159
Phone: (269) 982-7840
Fax: (269) 982-7843
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Internal Medicine 207R00000X MS007105 Michigan

Profile Details

NPI number 1477512168
LBN Legal business name Smalley, Mark
Credentials Doctor of Osteopathy (DO)
Entity Individual
Sole proprietor 1 No
Enumeration date Mar 21st, 2006
Last updated May 7th, 2019 - about 6 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 1477512168 NPPES
Michigan Other 0A110280 BCBS
Michigan Other 110203217 BCBS

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