Smith, Daniel Robert

Smith, Daniel Robert is an individual health care provider with primary practice located at 1520 Whitney Ct Centra Care Clinic, St Cloud MN 56303-1899. He recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as his primary health care specialty. Smith, Daniel Robert can be contacted via phone (320) 251-1755.

Contact Information

Primary practice address
1520 Whitney Ct Centra Care Clinic St Cloud MN 56303-1899
Phone: (320) 251-1755
Fax: (507) 434-1477
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X 41725 Minnesota

Profile Details

NPI number 1972588150
LBN Legal business name Smith, Daniel Robert
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Dec 12th, 2005
Last updated Mar 7th, 2012 - about 12 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 1972588150 NPPES
Minnesota MEDICAID 340757800
Minnesota Other 080140250

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