Smith, James C
Smith, James C is an individual health care provider with primary practice located at 8600 Nicollet Ave S Mail Stop 31500A, Bloomington MN 55420-2824. He recently has only one registered license in Allopathic & Osteopathic Physicians / Internal Medicine, which is considered as his primary health care specialty. Smith, James C can be contacted via phone (952) 887-6600.Contact Information
Primary practice address
8600 Nicollet Ave S Mail Stop 31500A
Bloomington MN 55420-2824
Phone: (952) 887-6600
Fax: (952) 886-7015
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Allopathic & Osteopathic Physicians / Internal Medicine | 207R00000X | 20246 | Minnesota |
Profile Details
NPI number | 1922072941 |
---|---|
LBN Legal business name | Smith, James C |
Credentials | Doctor of Medicine (MD) |
Entity | Individual |
Sole proprietor 1 | No |
Enumeration date | Feb 15th, 2006 |
Last updated | Sep 22nd, 2008 - about 16 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 | 1922072941 | NPPES |
Minnesota | MEDICAID | 431582100 |
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