Smith, Brian Daniel
Smith, Brian Daniel is an individual health care provider with primary practice located at 909 Wilson Rd Rm B119 , East Lansing MI 48824-6410. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Psychiatry, Allopathic & Osteopathic Physicians / Child & Adolescent Psychiatry. Allopathic & Osteopathic Physicians / Child & Adolescent Psychiatry is his primary health care specialty. Smith, Brian Daniel can be contacted via phone (517) 353-3070.Contact Information
Primary practice address
909 Wilson Rd Rm B119
East Lansing MI 48824-6410
Phone: (517) 353-3070
Fax: (517) 884-1817
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Psychiatry | 2084P0800X | 4301081727 | Michigan |
| Allopathic & Osteopathic Physicians / Child & Adolescent Psychiatry | 2084P0804X | 4301081727 | Michigan |
Profile Details
| NPI number | 1629052790 |
|---|---|
| LBN Legal business name | Smith, Brian Daniel |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Dec 2nd, 2005 |
| Last updated | Jun 23rd, 2023 - about last year |
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 | 1629052790 | NPPES |
| Michigan | MEDICAID | 1629052790 |
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