Smith, Daniel Burtion
Smith, Daniel Burtion is an sole proprietor health care provider with primary practice located at 4965 E Lost Bridge Rd , Decatur IL 62521-5139. He recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as his primary health care specialty. Smith, Daniel Burtion can be contacted via phone (217) 864-5531.Contact Information
Primary practice address
4965 E Lost Bridge Rd
Decatur IL 62521-5139
Phone: (217) 864-5531
Fax: (217) 864-2449
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Family Medicine | 207Q00000X | 036070695 | Illinois |
Profile Details
| NPI number | 1699779538 |
|---|---|
| LBN Legal business name | Smith, Daniel Burtion |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Jun 9th, 2005 |
| Last updated | Dec 30th, 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1699779538 | NPPES |
| Illinois | MEDICAID | 0360706951 |
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