Smith, David
Smith, David is an sole proprietor health care provider with primary practice located at 56 Benjamin Ave Se , Grand Rapids MI 49506-1628. He recently has only one registered license in Podiatric Medicine & Surgery Service Providers / Podiatrist, which is considered as his primary health care specialty. Smith, David can be contacted via phone (616) 456-9744.Contact Information
Primary practice address
56 Benjamin Ave Se
Grand Rapids MI 49506-1628
Phone: (616) 456-9744
Fax: (616) 451-0717
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Podiatric Medicine & Surgery Service Providers / Podiatrist | 213E00000X | 5901001622 | Michigan |
Profile Details
| NPI number | 1740282409 |
|---|---|
| LBN Legal business name | Smith, David |
| Credentials | Doctor of Podiatric Medicine (DPM) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Aug 12th, 2005 |
| Last updated | Jul 8th, 2007 - about 17 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 | 1740282409 | NPPES |
| Michigan | MEDICAID | 4461768 |
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