Smith, Craig M

Smith, Craig M is an individual health care provider with primary practice located at 270 Amity Rd Suite 130, Woodbridge CT 06525. He recently has only one registered license in Behavioral Health & Social Service Providers / Clinical, which is considered as his primary health care specialty. Smith, Craig M can be contacted via phone (203) 397-0064.

Contact Information

Primary practice address
270 Amity Rd Suite 130 Woodbridge CT 06525
Fax: (203) 397-3537
Website:

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Clinical 1041C0700X

Profile Details

NPI number 1588676670
LBN Legal business name Smith, Craig M
Credentials
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 13th, 2006
Last updated Jul 8th, 2007 - about 17 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 1588676670 NPPES
Other 11360379 CAQH

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