Smith, Gilbert D
Smith, Gilbert D is an individual health care provider with primary practice located at 225 Physicians Park Ste 400 , Poplar Bluff MO 63901-3923. He recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as his primary health care specialty. Smith, Gilbert D can be contacted via phone (573) 727-5500.Contact Information
Primary practice address
225 Physicians Park Ste 400
Poplar Bluff MO 63901-3923
Phone: (573) 727-5500
Fax: (573) 727-5599
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Family Medicine | 207Q00000X | R5B27 | Missouri |
Profile Details
| NPI number | 1710965371 |
|---|---|
| LBN Legal business name | Smith, Gilbert D |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jan 4th, 2006 |
| Last updated | Feb 26th, 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1710965371 | NPPES |
| Missouri | MEDICAID | 201524741 | |
| Missouri | MEDICAID | MEDICAID |
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