Smith, Alyssa E
Smith, Alyssa E is an individual health care provider with primary practice located at 1 Childrens Pl Div Neurology Pediatrics, Saint Louis MO 63110-1002. She recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Neurology with Special Qualifications in Child Neurology, Allopathic & Osteopathic Physicians / Neurology. Allopathic & Osteopathic Physicians / Neurology is her primary health care specialty. Smith, Alyssa E can be contacted via phone (314) 362-1408.Contact Information
Primary practice address
1 Childrens Pl Div Neurology Pediatrics
Saint Louis MO 63110-1002
Phone: (314) 362-1408
Fax: (314) 454-2523
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Neurology with Special Qualifications in Child Neurology | 2084N0402X | 2019006470 | Missouri |
| Allopathic & Osteopathic Physicians / Neurology | 2084N0400X | 2019006470 | Missouri |
Profile Details
| NPI number | 1013322361 |
|---|---|
| LBN Legal business name | Smith, Alyssa E |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jun 25th, 2014 |
| Last updated | Apr 25th, 2024 - about 5 months 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 | 1013322361 | NPPES |
| Missouri | MEDICAID | 200061317 |
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