Smith, Brian Richard
Smith, Brian Richard is an individual health care provider with primary practice located at 20 York St Ynhh, Clinic Building 407, New Haven CT 06510-3220. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Hematology, Allopathic & Osteopathic Physicians / Clinical Pathology/Laboratory Medicine. Allopathic & Osteopathic Physicians / Clinical Pathology/Laboratory Medicine is his primary health care specialty. Smith, Brian Richard can be contacted via phone (203) 688-2286.Contact Information
Primary practice address
20 York St Ynhh, Clinic Building 407
New Haven CT 06510-3220
Phone: (203) 688-2286
Fax: (203) 688-4111
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Hematology | 207RH0000X | 029372 | Connecticut |
| Allopathic & Osteopathic Physicians / Clinical Pathology/Laboratory Medicine | 207ZP0105X | 029372 | Connecticut |
Profile Details
| NPI number | 1982686929 |
|---|---|
| LBN Legal business name | Smith, Brian Richard |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Nov 16th, 2005 |
| Last updated | Apr 6th, 2011 - about 14 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 | 1982686929 | NPPES |
| Connecticut | MEDICAID | 001293729 |
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