Smith, Clarence Milton

Smith, Clarence Milton is an individual health care provider with primary practice located at 1600 2Nd Ave Sw , Minot ND 58701-3459. He recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as his primary health care specialty. Smith, Clarence Milton can be contacted via phone (701) 858-1800.

Contact Information

Primary practice address
1600 2Nd Ave Sw Minot ND 58701-3459
Phone: (701) 858-1800
Fax: (701) 530-8842
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X 3205 North Dakota

Profile Details

NPI number 1275559262
LBN Legal business name Smith, Clarence Milton
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 14th, 2006
Last updated Jun 25th, 2010 - 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1275559262 NPPES
North Dakota Other P00477682 RR MEDICARE
North Dakota Other 31089 RR MEDICARE
North Dakota Other 26755 RR MEDICARE
North Dakota MEDICAID 11730 RR MEDICARE

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