Smith, Heidi
Smith, Heidi is an individual health care provider with primary practice located at 1301 1St Ave N , Fort Dodge IA 50501-4203. She recently has only one registered license in Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder), which is considered as her primary health care specialty. Smith, Heidi can be contacted via phone (515) 408-6779.Contact Information
Primary practice address
1301 1St Ave N
Fort Dodge IA 50501-4203
Phone: (515) 408-6779
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder) | 101YA0400X |
Profile Details
| NPI number | 1720610736 |
|---|---|
| LBN Legal business name | Smith, Heidi |
| Credentials | CADC |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Feb 7th, 2020 |
| Last updated | Mar 22nd, 2021 - about 3 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 | 1720610736 | NPPES |
| Iowa | MEDICAID | 0413702 |
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