Smilack, Jerry D
Smilack, Jerry D is an individual health care provider with primary practice located at 5779 E Mayo Blvd , Phoenix AZ 85054-4502. He recently has only one registered license in Allopathic & Osteopathic Physicians / Infectious Disease, which is considered as his primary health care specialty. Smilack, Jerry D can be contacted via phone (480) 301-8000.Contact Information
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Infectious Disease | 207RI0200X | 16720 | Arizona |
Profile Details
| NPI number | 1720061617 |
|---|---|
| LBN Legal business name | Smilack, Jerry D |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Nov 23rd, 2005 |
| Last updated | Oct 31st, 2007 - about 18 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 | 1720061617 | NPPES |
| Arizona | MEDICAID | 329690 | |
| Arizona | Other | 86080015085259A197 |
Popular Providers
-
Rubin, Phillip J
1715 W Northern Ave Ste 108, Phoenix AZ 85021 -
Vikram, Holenarasipur
5779 E Mayo Blvd , Phoenix AZ 85054 -
Kandelaki, George
370 E Virginia Ave Suite 100, Phoenix AZ 85004-1214 -
Orenstein, Robert
5777 E Mayo Blvd , Phoenix AZ 85054 -
Kusne, Shimon
5779 E Mayo Blvd , Phoenix AZ 85054 -
Blair, Janis E
5779 E Mayo Blvd , Phoenix AZ 85054 -
Marino, Daniel
128 W Marlette Ave , Phoenix AZ 85013-1524 -
Vanig, Thanes Jason
52 E Monterey Way , Phoenix AZ 85012