Smith, Bert Edward
Smith, Bert Edward is an individual health care provider with primary practice located at 1525 W Frye Rd , Chandler AZ 85224-6178. He recently has only one registered license in Behavioral Health & Social Service Providers / School, which is considered as his primary health care specialty. Smith, Bert Edward can be contacted via phone (480) 812-7000.Contact Information
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / School | 103TS0200X |
Profile Details
| NPI number | 1861511339 |
|---|---|
| LBN Legal business name | Smith, Bert Edward |
| Credentials | |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Mar 28th, 2007 |
| Last updated | Jul 9th, 2007 - about 17 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 | 1861511339 | NPPES |
| Arizona | MEDICAID | 548951 |
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