Smith, Jack D
Smith, Jack D is an individual health care provider with primary practice located at 133 Donohoe Rd , Greensburg PA 15601-6986. He recently has 2 registered licenses in different health care specialties including Other Service Providers / Specialist, Allopathic & Osteopathic Physicians / Orthopaedic Surgery. Other Service Providers / Specialist is his primary health care specialty. Smith, Jack D can be contacted via phone (724) 834-4448.Contact Information
Primary practice address
133 Donohoe Rd
Greensburg PA 15601-6986
Phone: (724) 834-4448
Fax: (724) 834-8563
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Other Service Providers / Specialist | 174400000X | MD015396E | Pennsylvania |
| Allopathic & Osteopathic Physicians / Orthopaedic Surgery | 207X00000X | MD015396E | Pennsylvania |
Profile Details
| NPI number | 1891780581 |
|---|---|
| LBN Legal business name | Smith, Jack D |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Sep 19th, 2005 |
| Last updated | Jan 7th, 2017 - about 7 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 | 1891780581 | NPPES |
| Pennsylvania | MEDICAID | 0017304600002 |
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