Smith, Daniel R

Smith, Daniel R is an individual health care provider with primary practice located at 978 Euclid Ave , Carbondale CO 81623-1839. He recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as his primary health care specialty. Smith, Daniel R can be contacted via phone (970) 963-3350.

Contact Information

Primary practice address
978 Euclid Ave Carbondale CO 81623-1839
Phone: (970) 963-3350
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X 44181 Wisconsin
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X 31675 Colorado

Profile Details

NPI number 1245225093
LBN Legal business name Smith, Daniel R
Credentials Doctor of Osteopathy (DO)
Entity Individual
Sole proprietor 1 No
Enumeration date Sep 19th, 2005
Last updated Jan 8th, 2015 - about 9 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 1245225093 NPPES
Colorado MEDICAID 01316751

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