Smith, Daniel Thomas
Smith, Daniel Thomas is an sole proprietor health care provider with primary practice located at 7219 N Litchfield Rd , Luke Afb AZ 85309-1529. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Emergency Medicine, Other Service Providers / Military Health Care Provider. Other Service Providers / Military Health Care Provider is his primary health care specialty. Smith, Daniel Thomas can be contacted via phone (623) 856-7975.Contact Information
Primary practice address
7219 N Litchfield Rd
Luke Afb AZ 85309-1529
Phone: (623) 856-7975
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Emergency Medicine | 207P00000X | 50799 | Arizona |
| Other Service Providers / Military Health Care Provider | 171000000X | 50799 | Arizona |
Profile Details
| NPI number | 1134101843 |
|---|---|
| LBN Legal business name | Smith, Daniel Thomas |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Nov 17th, 2005 |
| Last updated | Jun 20th, 2023 - about last year |
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 | 1134101843 | NPPES |
| Arizona | MEDICAID | 060807 |
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