Smith, David Marc

Smith, David Marc is an individual health care provider with primary practice located at 2700 Nw Stewart Pkwy , Roseburg OR 97470-1281. He recently has only one registered license in Allopathic & Osteopathic Physicians / Emergency Medicine, which is considered as his primary health care specialty. Smith, David Marc can be contacted via phone (541) 584-2345.

Contact Information

Primary practice address
2700 Nw Stewart Pkwy Roseburg OR 97470-1281
Phone: (541) 584-2345
Fax: (541) 584-2345
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Emergency Medicine 207P00000X MD15989 Oregon

Profile Details

NPI number 1235100215
LBN Legal business name Smith, David Marc
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jan 30th, 2006
Last updated Apr 24th, 2009 - about 15 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 1235100215 NPPES
Oregon MEDICAID 059290
Oregon MEDICAID 930069800

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