Smith, Damon Lamont

Smith, Damon Lamont is an individual health care provider with primary practice located at 2346 S Lynhurst Dr Ste 707, Indianapolis IN 46241-8605. He recently has only one registered license in Podiatric Medicine & Surgery Service Providers / Podiatrist, which is considered as his primary health care specialty. Smith, Damon Lamont can be contacted via phone (800) 317-0711.

Contact Information

Primary practice address
2346 S Lynhurst Dr Ste 707 Indianapolis IN 46241-8605
Phone: (800) 317-0711
Fax: (800) 434-7113
Website:
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Health care specialties

SpecialtyCodeLicense #State
Podiatric Medicine & Surgery Service Providers / Podiatrist 213E00000X 07000969A Indiana

Profile Details

NPI number 1659355089
LBN Legal business name Smith, Damon Lamont
Credentials Doctor of Podiatric Medicine (DPM)
Entity Individual
Sole proprietor 1 No
Enumeration date Nov 30th, 2005
Last updated Feb 19th, 2018 - about 6 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 1659355089 NPPES
Indiana MEDICAID 200232900A
Indiana Other P00095856
Indiana Other 333781

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