Smith, Craig William

Smith, Craig William is an individual health care provider with primary practice located at 4426 W Walton Blvd , Waterford MI 48329-4073. He recently has only one registered license in Chiropractic Providers / Chiropractor, which is considered as his primary health care specialty. Smith, Craig William can be contacted via phone (248) 674-4711.

Contact Information

Primary practice address
4426 W Walton Blvd Waterford MI 48329-4073
Phone: (248) 674-4711
Fax: (248) 674-4712
Website:
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Health care specialties

SpecialtyCodeLicense #State
Chiropractic Providers / Chiropractor 111N00000X 3439 Tennessee
Chiropractic Providers / Chiropractor 111N00000X 2301007755 Michigan

Profile Details

NPI number 1407987530
LBN Legal business name Smith, Craig William
Credentials Doctor of Chiropractic (DC)
Entity Individual
Sole proprietor 1 No
Enumeration date Mar 8th, 2007
Last updated Sep 8th, 2021 - about 3 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 1407987530 NPPES
Maryland MEDICAID 4292119

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