Smith, John M

Smith, John M is an individual health care provider with primary practice located at 78 Sunnymede Dr , Fort Mitchell KY 41017-2842. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Emergency Medicine, Allopathic & Osteopathic Physicians / General Practice. Allopathic & Osteopathic Physicians / Emergency Medicine is his primary health care specialty. Smith, John M can be contacted via phone (859) 331-6104.

Contact Information

Primary practice address
78 Sunnymede Dr Fort Mitchell KY 41017-2842
Phone: (859) 331-6104
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Emergency Medicine 207P00000X 21523 Kentucky
Allopathic & Osteopathic Physicians / General Practice 208D00000X 35092296 Ohio

Profile Details

NPI number 1306860424
LBN Legal business name Smith, John M
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 26th, 2006
Last updated Apr 1st, 2013 - about 12 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 1306860424 NPPES
Kentucky MEDICAID 64215239
Kentucky MEDICAID 0598367

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