Smith, Donald Ray
Smith, Donald Ray is an individual health care provider with primary practice located at 1501 Kings Hwy Department Of Neurosurgery, Shreveport LA 71103-4228. He recently has only one registered license in Allopathic & Osteopathic Physicians / Neurological Surgery, which is considered as his primary health care specialty. Smith, Donald Ray can be contacted via phone (318) 813-1555.Contact Information
Primary practice address
1501 Kings Hwy Department Of Neurosurgery
Shreveport LA 71103-4228
Phone: (318) 813-1555
Fax: (318) 813-2491
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Neurological Surgery | 207T00000X | 009485 | Louisiana |
Profile Details
| NPI number | 1376557512 |
|---|---|
| LBN Legal business name | Smith, Donald Ray |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jul 27th, 2006 |
| Last updated | Mar 4th, 2014 - about 10 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 | 1376557512 | NPPES |
| Louisiana | Other | 5K511F600 | MEDICARE - PTAN |
| Louisiana | MEDICAID | 1176346 | MEDICARE - PTAN |
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