Smith, Becky Jo
Smith, Becky Jo is an sole proprietor health care provider with primary practice located at 15959 Hall Rd Suite 206, Macomb MI 48044-3904. She recently has only one registered license in Allopathic & Osteopathic Physicians / Obstetrics & Gynecology, which is considered as her primary health care specialty. Smith, Becky Jo can be contacted via phone (586) 566-9300.Contact Information
Primary practice address
15959 Hall Rd Suite 206
Macomb MI 48044-3904
Phone: (586) 566-9300
Fax: (586) 566-5955
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Obstetrics & Gynecology | 207V00000X | 5101010421 | Michigan |
Profile Details
| NPI number | 1720062722 |
|---|---|
| LBN Legal business name | Smith, Becky Jo |
| Credentials | Doctor of Osteopathy (DO) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Dec 2nd, 2005 |
| Last updated | Jul 26th, 2012 - about 13 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 | 1720062722 | NPPES |
| Michigan | MEDICAID | 4195410 |
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