Smedley, Michelle V

Smedley, Michelle V is an individual health care provider with primary practice located at 21 South Rd Suite 100, Farmington CT 06032-2482. She recently has only one registered license in Allopathic & Osteopathic Physicians / Gastroenterology, which is considered as her primary health care specialty. Smedley, Michelle V can be contacted via phone (860) 409-4567.

Contact Information

Primary practice address
21 South Rd Suite 100 Farmington CT 06032-2482
Fax: (860) 409-4846
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Gastroenterology 207RG0100X 041225 Connecticut

Profile Details

NPI number 1891899415
LBN Legal business name Smedley, Michelle V
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Sep 12th, 2006
Last updated May 3rd, 2011 - about 14 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 1891899415 NPPES
Connecticut MEDICAID 001412254

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