Smernoff, Eric Nathan

Smernoff, Eric Nathan is an individual health care provider with primary practice located at 6333 Forest Park Rd Ste Bla .110 , Dallas TX 75235-5461. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Clinical Neurophysiology, Behavioral Health & Social Service Providers / Clinical Neuropsychologist. Behavioral Health & Social Service Providers / Clinical Neuropsychologist is his primary health care specialty. Smernoff, Eric Nathan can be contacted via phone (214) 648-4646.

Contact Information

Primary practice address
6333 Forest Park Rd Ste Bla .110 Dallas TX 75235-5461
Phone: (214) 648-4646
Fax: (214) 645-3775
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Clinical Neurophysiology 2084N0600X 32281 Texas
Behavioral Health & Social Service Providers / Clinical Neuropsychologist 103G00000X 32281 Texas

Profile Details

NPI number 1013977800
LBN Legal business name Smernoff, Eric Nathan
Credentials PH. D.
Entity Individual
Sole proprietor 1 No
Enumeration date Mar 24th, 2006
Last updated Jul 21st, 2022 - about 2 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 1013977800 NPPES
Texas Other 86847A BCBS
Texas MEDICAID 1649311-01 BCBS

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