Smidt, Peter
Smidt, Peter is an sole proprietor health care provider with primary practice located at 1600 S 4Th Ave Ste 110, Morton IL 61550-2889. He recently has only one registered license in Dental Providers / General Practice, which is considered as his primary health care specialty. Smidt, Peter can be contacted via phone (309) 263-2781.Contact Information
Primary practice address
1600 S 4Th Ave Ste 110
Morton IL 61550-2889
Phone: (309) 263-2781
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Dental Providers / General Practice | 1223G0001X | 019029856 | Illinois |
Profile Details
| NPI number | 1598170771 |
|---|---|
| LBN Legal business name | Smidt, Peter |
| Credentials | Doctor of Dental Surgery (DDS) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Jun 25th, 2014 |
| Last updated | Jun 25th, 2014 - about 10 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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