Smith, Carl Bert

Smith, Carl Bert is an individual health care provider with primary practice located at 3777 S Pecos Mcleod Suite 103, Las Vegas NV 89121-4264. He recently has only one registered license in Podiatric Medicine & Surgery Service Providers / Foot Surgery, which is considered as his primary health care specialty. Smith, Carl Bert can be contacted via phone (702) 434-2023.

Contact Information

Primary practice address
3777 S Pecos Mcleod Suite 103 Las Vegas NV 89121-4264
Phone: (702) 434-2023
Fax: (702) 434-1976
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Podiatric Medicine & Surgery Service Providers / Foot Surgery 213ES0131X 0031 Nevada

Profile Details

NPI number 1255391579
LBN Legal business name Smith, Carl Bert
Credentials Doctor of Podiatric Medicine (DPM)
Entity Individual
Sole proprietor 1 No
Enumeration date Mar 23rd, 2006
Last updated Nov 14th, 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 1255391579 NPPES
Nevada MEDICAID 002102887
Nevada Other 480011132

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