Smith, James Douglas

Smith, James Douglas is an individual health care provider with primary practice located at 136 Sherman Ave Ste 405, New Haven CT 06511-5238. He recently has only one registered license in Allopathic & Osteopathic Physicians / Nephrology, which is considered as his primary health care specialty. Smith, James Douglas can be contacted via phone (203) 787-0117.

Contact Information

Primary practice address
136 Sherman Ave Ste 405 New Haven CT 06511-5238
Phone: (203) 787-0117
Fax: (203) 777-3559
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Nephrology 207RN0300X 21406 Connecticut

Profile Details

NPI number 1801883335
LBN Legal business name Smith, James Douglas
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Sep 30th, 2005
Last updated Oct 11th, 2011 - about 13 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.

Request for update

Identifiers

StateTypeNumberIssuer
All States NPI 1801883335 NPPES
Connecticut MEDICAID 001214064

Popular Providers