Smith, Jeffrey J

Smith, Jeffrey J is an sole proprietor health care provider with primary practice located at 1800 Renaissance Blvd Ste 210, Edmond OK 73013-3023. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Gynecology, Other Service Providers / Specialist. Other Service Providers / Specialist is his primary health care specialty. Smith, Jeffrey J can be contacted via phone (405) 470-6767.

Contact Information

Primary practice address
1800 Renaissance Blvd Ste 210 Edmond OK 73013-3023
Phone: (405) 470-6767
Fax: (405) 470-6768
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Gynecology 207VG0400X 14140 Oklahoma
Other Service Providers / Specialist 174400000X 14140 Oklahoma

Profile Details

NPI number 1184675860
LBN Legal business name Smith, Jeffrey J
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 Yes
Enumeration date May 15th, 2006
Last updated Jan 9th, 2019 - about 5 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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Identifiers

StateTypeNumberIssuer
All States NPI 1184675860 NPPES
Oklahoma MEDICAID 100826770B

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