Smith, David J

Smith, David J is an individual health care provider with primary practice located at 1035 Charlevoix Dr Suite 100, Grand Ledge MI 48837-2223. He recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as his primary health care specialty. Smith, David J can be contacted via phone (517) 627-2181.

Contact Information

Primary practice address
1035 Charlevoix Dr Suite 100 Grand Ledge MI 48837-2223
Fax: (517) 622-1242
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X 4301030055 Michigan

Profile Details

NPI number 1275623662
LBN Legal business name Smith, David J
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Oct 13th, 2006
Last updated Oct 1st, 2013 - about 11 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 1275623662 NPPES
Other 080079682 MEDICARE RAILROAD
Other P54028 MEDICARE RAILROAD

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