Smith, Corey Dixon

Smith, Corey Dixon is an sole proprietor health care provider with primary practice located at 14 S Broadway , Baltimore MD 21231-1712. He recently has only one registered license in Other Service Providers / Peer Specialist, which is considered as his primary health care specialty. Smith, Corey Dixon can be contacted via phone (410) 276-1773.

Contact Information

Primary practice address
14 S Broadway Baltimore MD 21231-1712
Fax: (410) 276-2056
Website:

Health care specialties

SpecialtyCodeLicense #State
Other Service Providers / Peer Specialist 175T00000X PR0591 Maryland

Profile Details

NPI number 1841907474
LBN Legal business name Smith, Corey Dixon
Credentials CPRS
Entity Individual
Sole proprietor 1 Yes
Enumeration date Nov 2nd, 2022
Last updated Nov 2nd, 2022 - about 2 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 1841907474 NPPES
Maryland Other PR0591 CPRS

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