Smith, Andrew Taylor

Smith, Andrew Taylor is an sole proprietor health care provider with primary practice located at 26 Eastern Ave , Augusta ME 04330-5722. He recently has 2 registered licenses in different health care specialties including Podiatric Medicine & Surgery Service Providers / Podiatrist, Podiatric Medicine & Surgery Service Providers / Foot & Ankle Surgery. Podiatric Medicine & Surgery Service Providers / Foot & Ankle Surgery is his primary health care specialty. Smith, Andrew Taylor can be contacted via phone (207) 623-5100.

Contact Information

Primary practice address
26 Eastern Ave Augusta ME 04330-5722
Phone: (207) 623-5100
Fax: (207) 621-1822
Website:
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Health care specialties

SpecialtyCodeLicense #State
Podiatric Medicine & Surgery Service Providers / Podiatrist 213E00000X POD1036 Maine
Podiatric Medicine & Surgery Service Providers / Foot & Ankle Surgery 213ES0103X POD1036 Maine

Profile Details

NPI number 1649276411
LBN Legal business name Smith, Andrew Taylor
Credentials Doctor of Podiatric Medicine (DPM)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jun 24th, 2005
Last updated Jul 25th, 2013 - about 11 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 1649276411 NPPES
Maine MEDICAID 101470000
Maine Other 010538131

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