Smith, Jeffrey R

Smith, Jeffrey R is an individual health care provider with primary practice located at 2350 N Rockton Ave , Rockford IL 61103-3600. He recently has 3 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Internal Medicine, Allopathic & Osteopathic Physicians / Clinical Cardiac Electrophysiology, Allopathic & Osteopathic Physicians / Cardiovascular Disease. Allopathic & Osteopathic Physicians / Cardiovascular Disease is his primary health care specialty. Smith, Jeffrey R can be contacted via phone (815) 971-2200.

Contact Information

Primary practice address
2350 N Rockton Ave Rockford IL 61103-3600
Phone: (815) 971-2200
Fax: (815) 971-9097
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Internal Medicine 207R00000X 036078927 Illinois
Allopathic & Osteopathic Physicians / Clinical Cardiac Electrophysiology 207RC0001X 036078927 Illinois
Allopathic & Osteopathic Physicians / Cardiovascular Disease 207RC0000X 036-078927 Illinois

Profile Details

NPI number 1346200938
LBN Legal business name Smith, Jeffrey R
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Mar 27th, 2006
Last updated Sep 3rd, 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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Identifiers

StateTypeNumberIssuer
All States NPI 1346200938 NPPES
Illinois MEDICAID 036078927
Illinois MEDICAID 1346200938

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