Smith, Eddie M
Smith, Eddie M is an sole proprietor health care provider with primary practice located at 103 Picciola Pkwy , Cut Off LA 70345-3572. He recently has only one registered license in Allopathic & Osteopathic Physicians / General Practice, which is considered as his primary health care specialty. Smith, Eddie M can be contacted via phone (985) 325-6226.Contact Information
Primary practice address
103 Picciola Pkwy
Cut Off LA 70345-3572
Phone: (985) 325-6226
Fax: (982) 325-6242
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / General Practice | 208D00000X | 18307 | Louisiana |
Profile Details
| NPI number | 1700908241 |
|---|---|
| LBN Legal business name | Smith, Eddie M |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Apr 4th, 2007 |
| Last updated | May 2nd, 2016 - about 9 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 | 1700908241 | NPPES |
| Louisiana | MEDICAID | 1357464 |
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