Smith, Gerald Michael
Smith, Gerald Michael is an individual health care provider with primary practice located at 100 Hospital Ave , Du Bois PA 15801-1440. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Emergency Medicine, Allopathic & Osteopathic Physicians / Internal Medicine. Allopathic & Osteopathic Physicians / Emergency Medicine is his primary health care specialty. Smith, Gerald Michael can be contacted via phone (814) 375-3471.Contact Information
Primary practice address
100 Hospital Ave
Du Bois PA 15801-1440
Phone: (814) 375-3471
Fax: (814) 375-3472
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Emergency Medicine | 207P00000X | OS015996 | Pennsylvania |
| Allopathic & Osteopathic Physicians / Internal Medicine | 207R00000X | OS015996 | Pennsylvania |
Profile Details
| NPI number | 1912184284 |
|---|---|
| LBN Legal business name | Smith, Gerald Michael |
| Credentials | Doctor of Osteopathy (DO) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jan 29th, 2008 |
| Last updated | Mar 7th, 2023 - about last year |
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 | 1912184284 | NPPES |
| Pennsylvania | MEDICAID | 102738643 |
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