Smith, Carl Edwin
Smith, Carl Edwin is an sole proprietor health care provider with primary practice located at 120 Professional Lane Ste 201, Harlan KY 40831-2603. He recently has only one registered license in Allopathic & Osteopathic Physicians / Pediatrics, which is considered as his primary health care specialty. Smith, Carl Edwin can be contacted via phone (606) 573-1004.Contact Information
Primary practice address
120 Professional Lane Ste 201
Harlan KY 40831-2603
Phone: (606) 573-1004
Fax: (606) 573-0059
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Pediatrics | 208000000X | 24028 | Kentucky |
Profile Details
| NPI number | 1972583607 |
|---|---|
| LBN Legal business name | Smith, Carl Edwin |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Jan 19th, 2006 |
| Last updated | Nov 30th, 2009 - about 15 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 | 1972583607 | NPPES |
| Kentucky | MEDICAID | 31000953 |
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