Smartt, Jerry W
Smartt, Jerry W is an sole proprietor health care provider with primary practice located at 9640 Commerce Dr Suite 412, Carmel IN 46032-7640. He recently has only one registered license in Allopathic & Osteopathic Physicians / Neurology, which is considered as his primary health care specialty. Smartt, Jerry W can be contacted via phone (317) 872-4545.Contact Information
Primary practice address
9640 Commerce Dr Suite 412
Carmel IN 46032-7640
Phone: (317) 872-4545
Fax: (317) 872-3959
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Neurology | 2084N0400X | 01058330A | Indiana |
Profile Details
| NPI number | 1306850722 |
|---|---|
| LBN Legal business name | Smartt, Jerry W |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Jul 28th, 2006 |
| Last updated | Jan 17th, 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1306850722 | NPPES |
| Indiana | MEDICAID | 200506690 |
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