Smiley, David C

Smiley, David C is an individual health care provider with primary practice located at 5109 36Th Ave N , Crystal MN 55422-2007. He recently has only one registered license in Allopathic & Osteopathic Physicians / Internal Medicine, which is considered as his primary health care specialty. Smiley, David C can be contacted via phone (763) 587-7900.

Contact Information

Primary practice address
5109 36Th Ave N Crystal MN 55422-2007
Fax: (763) 587-7989
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Internal Medicine 207R00000X 33827 Minnesota

Profile Details

NPI number 1437189057
LBN Legal business name Smiley, David C
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 3rd, 2006
Last updated Nov 9th, 2022 - about 3 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 1437189057 NPPES
Minnesota MEDICAID 902398400

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