Smith, Gregory H
Smith, Gregory H is an individual health care provider with primary practice located at 1070 Old Des Peres Rd , Saint Louis MO 63131-1865. He recently has only one registered license in Allopathic & Osteopathic Physicians / Pain Medicine, which is considered as his primary health care specialty. Smith, Gregory H can be contacted via phone (314) 821-8644.Contact Information
Primary practice address
1070 Old Des Peres Rd
Saint Louis MO 63131-1865
Phone: (314) 821-8644
Fax: (314) 821-4858
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Pain Medicine | 207LP2900X | R1E02 | Missouri |
Profile Details
| NPI number | 1386640316 |
|---|---|
| LBN Legal business name | Smith, Gregory H |
| Credentials | Doctor of Osteopathy (DO) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jun 23rd, 2005 |
| Last updated | Aug 2nd, 2011 - about 13 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 | 1386640316 | NPPES |
| Missouri | MEDICAID | 242057925 |
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