Smith, David Robert
Smith, David Robert is an sole proprietor health care provider with primary practice located at 1700 St Lukes Blvd , Easton PA 18045-5670. He recently has only one registered license in Student, Health Care / Student in an Organized Health Care Education/Training Program, which is considered as his primary health care specialty. Smith, David Robert can be contacted via phone (484) 526-1000.Contact Information
Primary practice address
1700 St Lukes Blvd
Easton PA 18045-5670
Phone: (484) 526-1000
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Student, Health Care / Student in an Organized Health Care Education/Training Program | 390200000X | OT020323 | Pennsylvania |
Profile Details
| NPI number | 1427672260 |
|---|---|
| LBN Legal business name | Smith, David Robert |
| Credentials | Doctor of Osteopathy (DO) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Jun 7th, 2020 |
| Last updated | Jun 7th, 2020 - about 4 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 | 1427672260 | NPPES |
| Pennsylvania | MEDICAID | OT020323 |
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