Smith, Daniel Douglas
Smith, Daniel Douglas is an sole proprietor health care provider with primary practice located at 1701 N Senate Blvd , Indianapolis IN 46202-1239. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Emergency Medical Services, Allopathic & Osteopathic Physicians / Emergency Medicine. Allopathic & Osteopathic Physicians / Emergency Medicine is his primary health care specialty. Smith, Daniel Douglas can be contacted via phone (317) 962-3886.Contact Information
Primary practice address
1701 N Senate Blvd
Indianapolis IN 46202-1239
Phone: (317) 962-3886
Fax:
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Allopathic & Osteopathic Physicians / Emergency Medical Services | 207PE0004X | K6336 | Texas |
Allopathic & Osteopathic Physicians / Emergency Medicine | 207P00000X | 01083651A | Indiana |
Profile Details
NPI number | 1255320834 |
---|---|
LBN Legal business name | Smith, Daniel Douglas |
Credentials | Doctor of Medicine (MD) |
Entity | Individual |
Sole proprietor 1 | Yes |
Enumeration date | Oct 17th, 2005 |
Last updated | Feb 17th, 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 | 1255320834 | NPPES |
Texas | Other | 8N2614 | BCBS |
Texas | MEDICAID | 029831701 | BCBS |
Texas | MEDICAID | 029831702 | BCBS |
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