Smith, Debra J

Smith, Debra J is an individual health care provider with primary practice located at 1501 E 3Rd St , Delta CO 81416-2815. She recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Family Medicine, Allopathic & Osteopathic Physicians / Emergency Medicine. Allopathic & Osteopathic Physicians / Family Medicine is her primary health care specialty. Smith, Debra J can be contacted via phone (970) 874-7681.

Contact Information

Primary practice address
1501 E 3Rd St Delta CO 81416-2815
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X 40532 Colorado
Allopathic & Osteopathic Physicians / Emergency Medicine 207P00000X 40532 Colorado

Profile Details

NPI number 1215965728
LBN Legal business name Smith, Debra J
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 30th, 2006
Last updated Dec 10th, 2021 - 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1215965728 NPPES
Colorado MEDICAID 61336319

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