Smith, Ian Michael

Smith, Ian Michael is an individual health care provider with primary practice located at 2275 Sommers Rd , Lake St Louis MO 63367-6406. He recently has only one registered license in Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Athletic Trainer, which is considered as his primary health care specialty. Smith, Ian Michael can be contacted via phone (636) 561-0075.

Contact Information

Primary practice address
2275 Sommers Rd Lake St Louis MO 63367-6406
Phone: (636) 561-0075
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Athletic Trainer 2255A2300X 2017022695 Missouri

Profile Details

NPI number 1922630607
LBN Legal business name Smith, Ian Michael
Credentials
Entity Individual
Sole proprietor 1 No
Enumeration date Feb 10th, 2020
Last updated Feb 10th, 2020 - 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.

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