Smith, Dean T
Smith, Dean T is an individual health care provider with primary practice located at 391 Shore Haven Dr Se , Grand Rapids MI 49546-2257. He recently has only one registered license in Allopathic & Osteopathic Physicians / Surgery, which is considered as his primary health care specialty. Smith, Dean T can be contacted via phone (616) 479-8936.Contact Information
Primary practice address
391 Shore Haven Dr Se
Grand Rapids MI 49546-2257
Phone: (616) 479-8936
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Surgery | 208600000X | 4301028094 | Michigan |
Profile Details
| NPI number | 1811990252 |
|---|---|
| LBN Legal business name | Smith, Dean T |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | May 31st, 2005 |
| Last updated | Mar 2nd, 2017 - about 7 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 | 1811990252 | NPPES |
| Michigan | MEDICAID | 4471960 |
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