Smith, David Sean
Smith, David Sean is an individual health care provider with primary practice located at 2817 Saint Johns Blvd , Joplin MO 64804-1563. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Emergency Medicine, Allopathic & Osteopathic Physicians / Family Medicine. Allopathic & Osteopathic Physicians / Emergency Medicine is his primary health care specialty. Smith, David Sean can be contacted via phone (417) 625-2300.Contact Information
Primary practice address
2817 Saint Johns Blvd
Joplin MO 64804-1563
Phone: (417) 625-2300
Fax: (417) 625-2005
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Emergency Medicine | 207P00000X | 2000170263 | Missouri |
| Allopathic & Osteopathic Physicians / Family Medicine | 207Q00000X | 2000170263 | Missouri |
Profile Details
| NPI number | 1154363232 |
|---|---|
| LBN Legal business name | Smith, David Sean |
| Credentials | Doctor of Osteopathy (DO) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jun 12th, 2006 |
| Last updated | Feb 10th, 2012 - about 12 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 | 1154363232 | NPPES |
| Missouri | MEDICAID | 207790205 | |
| Missouri | MEDICAID | 100114210C | |
| Missouri | MEDICAID | 100395140D |
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