Smith, David Middleton
Smith, David Middleton is an individual health care provider with primary practice located at 2103 Graves Mill Rd , Forest VA 24551-2675. He recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as his primary health care specialty. Smith, David Middleton can be contacted via phone (434) 316-7199.Contact Information
Primary practice address
2103 Graves Mill Rd
Forest VA 24551-2675
Phone: (434) 316-7199
Fax: (434) 316-6185
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Family Medicine | 207Q00000X | 0101031023 | Virginia |
Profile Details
| NPI number | 1801887344 |
|---|---|
| LBN Legal business name | Smith, David Middleton |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Nov 3rd, 2005 |
| Last updated | Oct 22nd, 2018 - about 6 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 | 1801887344 | NPPES |
| Virginia | MEDICAID | 005613116 | |
| Virginia | Other | 452132 | |
| Virginia | Other | 300825 | |
| Virginia | Other | 080179876 | |
| Virginia | Other | 5234699 | |
| Virginia | Other | 541901162001 | |
| Virginia | Other | 0134585 |
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