Smith, Brett R

Smith, Brett R is an individual health care provider with primary practice located at 1040 Gulf Breeze Pkwy Suite 200, Gulf Breeze FL 32561-7809. He recently has only one registered license in Allopathic & Osteopathic Physicians / Orthopaedic Surgery, which is considered as his primary health care specialty. Smith, Brett R can be contacted via phone (850) 916-3700.

Contact Information

Primary practice address
1040 Gulf Breeze Pkwy Suite 200 Gulf Breeze FL 32561-7809
Phone: (850) 916-3700
Fax: (850) 916-3710
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Orthopaedic Surgery 207X00000X 30241 Arizona
Allopathic & Osteopathic Physicians / Orthopaedic Surgery 207X00000X MD073529L Pennsylvania
Allopathic & Osteopathic Physicians / Orthopaedic Surgery 207X00000X ME105667 Florida

Profile Details

NPI number 1912987306
LBN Legal business name Smith, Brett R
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jan 20th, 2006
Last updated Nov 29th, 2011 - 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1912987306 NPPES
Ohio MEDICAID 2698586
Ohio Other 7998568
Ohio Other 146QJ
Ohio Other P00807016
Ohio Other 592-09123
Ohio MEDICAID 1017642910001
Ohio Other 592-09139
Ohio MEDICAID 001853100
Ohio MEDICAID 114534
Ohio MEDICAID 115066
Ohio MEDICAID 3810008259
Ohio MEDICAID 881244

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