Smith, Amy S

Smith, Amy S is an individual health care provider with primary practice located at 501 S Chipeta Way , Salt Lake City UT 84108-1222. She recently has only one registered license in Allopathic & Osteopathic Physicians / Child & Adolescent Psychiatry, which is considered as her primary health care specialty. Smith, Amy S can be contacted via phone (801) 585-1575.

Contact Information

Primary practice address
501 S Chipeta Way Salt Lake City UT 84108-1222
Phone: (801) 585-1575
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Child & Adolescent Psychiatry 2084P0804X 7150461-1205 Utah

Profile Details

NPI number 1508917048
LBN Legal business name Smith, Amy S
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jan 12th, 2007
Last updated Nov 12th, 2021 - 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 1508917048 NPPES
Utah MEDICAID 1508917048

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