Smith, Ian Deryk

Smith, Ian Deryk is an individual health care provider with primary practice located at Psc 851 Box 340 , Fpo AE 09834-0004. He recently has 2 registered licenses in different health care specialties including Other Service Providers / Military Health Care Provider, Allopathic & Osteopathic Physicians / Family Medicine. Allopathic & Osteopathic Physicians / Family Medicine is his primary health care specialty. Smith, Ian Deryk can be contacted via phone (731) 785-4260.

Contact Information

Primary practice address
Psc 851 Box 340 Fpo AE 09834-0004
Phone: (731) 785-4260
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Other Service Providers / Military Health Care Provider 171000000X
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X 0101275808 Virginia

Profile Details

NPI number 1528647377
LBN Legal business name Smith, Ian Deryk
Credentials
Entity Individual
Sole proprietor 1 No
Enumeration date Apr 7th, 2021
Last updated Jun 16th, 2024 - 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.

Request for update

Popular Providers