Smith, John

Smith, John is an individual health care provider with primary practice located at 1101 Decatur St , Sandusky OH 44870-3335. He recently has only one registered license in Allopathic & Osteopathic Physicians / Emergency Medical Services, which is considered as his primary health care specialty. Smith, John can be contacted via phone (419) 626-7400.

Contact Information

Primary practice address
1101 Decatur St Sandusky OH 44870-3335
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Emergency Medical Services 207PE0004X 35056121S Ohio

Profile Details

NPI number 1033103734
LBN Legal business name Smith, John
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Sep 8th, 2005
Last updated Jul 8th, 2007 - about 17 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 1033103734 NPPES
Ohio MEDICAID 0883343

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