Smith, Dirk M
Smith, Dirk M is an sole proprietor health care provider with primary practice located at 8200 W Central Ave Suite One, Wichita KS 67212-9503. He recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as his primary health care specialty. Smith, Dirk M can be contacted via phone (316) 721-4544.Contact Information
Primary practice address
8200 W Central Ave Suite One
Wichita KS 67212-9503
Phone: (316) 721-4544
Fax: (316) 721-8307
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Family Medicine | 207Q00000X | 04-29410 | Kansas |
Profile Details
| NPI number | 1346242617 |
|---|---|
| LBN Legal business name | Smith, Dirk M |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Jun 1st, 2005 |
| Last updated | Mar 24th, 2023 - about 2 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 | 1346242617 | NPPES |
| Kansas | MEDICAID | 100040030B |
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