Smith, Andrew Jk
Smith, Andrew Jk is an individual health care provider with primary practice located at 3800 Park Nicollet Blvd Credentialing Dept, St Louis Park MN 55416-2527. He recently has 4 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Cardiovascular Disease, Allopathic & Osteopathic Physicians / Clinical Cardiac Electrophysiology, Allopathic & Osteopathic Physicians / Interventional Cardiology, Allopathic & Osteopathic Physicians / Internal Medicine. Allopathic & Osteopathic Physicians / Cardiovascular Disease is his primary health care specialty. Smith, Andrew Jk can be contacted via phone (952) 993-6450.Contact Information
Primary practice address
3800 Park Nicollet Blvd Credentialing Dept
St Louis Park MN 55416-2527
Phone: (952) 993-6450
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Cardiovascular Disease | 207RC0000X | 44553 | Colorado |
| Allopathic & Osteopathic Physicians / Clinical Cardiac Electrophysiology | 207RC0001X | 44553 | Colorado |
| Allopathic & Osteopathic Physicians / Interventional Cardiology | 207RI0011X | 44553 | Colorado |
| Allopathic & Osteopathic Physicians / Internal Medicine | 207R00000X | 41532 | Minnesota |
| Allopathic & Osteopathic Physicians / Cardiovascular Disease | 207RC0000X | 41532 | Minnesota |
| Allopathic & Osteopathic Physicians / Clinical Cardiac Electrophysiology | 207RC0001X | 41532 | Minnesota |
Profile Details
| NPI number | 1699725101 |
|---|---|
| LBN Legal business name | Smith, Andrew Jk |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | May 12th, 2006 |
| Last updated | Jul 2nd, 2012 - about 12 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 | 1699725101 | NPPES |
| Colorado | Other | 019391 | KAISER COMMERCIAL NUMBER |
| Colorado | MEDICAID | 72735759 | KAISER COMMERCIAL NUMBER |
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