Smith, Andre' Blair
Smith, Andre' Blair is an sole proprietor health care provider with primary practice located at 4416 Blackberry Ln , Lansing MI 48917-1633. He recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as his primary health care specialty. Smith, Andre' Blair can be contacted via phone (517) 775-9799.Contact Information
Primary practice address
4416 Blackberry Ln
Lansing MI 48917-1633
Phone: (517) 775-9799
Fax: (877) 488-5507
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Family Medicine | 207Q00000X | 4301056626 | Michigan |
Profile Details
| NPI number | 1417920463 |
|---|---|
| LBN Legal business name | Smith, Andre' Blair |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Feb 9th, 2006 |
| Last updated | Jul 21st, 2022 - about 4 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 | 1417920463 | NPPES |
| Michigan | Other | 0330434 | BCBS |
| Michigan | MEDICAID | 4324357 | BCBS |
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