Smith, Carl Roe
Smith, Carl Roe is an individual health care provider with primary practice located at 700 W 7Th Ave Suite 101, Bristow OK 74010-2302. He recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as his primary health care specialty. Smith, Carl Roe can be contacted via phone (918) 367-3272.Contact Information
Primary practice address
700 W 7Th Ave Suite 101
Bristow OK 74010-2302
Phone: (918) 367-3272
Fax: (918) 367-5275
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Family Medicine | 207Q00000X | 3992 | Oklahoma |
Profile Details
| NPI number | 1598788515 |
|---|---|
| LBN Legal business name | Smith, Carl Roe |
| Credentials | Doctor of Osteopathy (DO) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jul 25th, 2006 |
| Last updated | May 6th, 2014 - about 11 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 | 1598788515 | NPPES |
| Oklahoma | MEDICAID | 100119530A |
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