Smith, Joshua Michael
Smith, Joshua Michael is an individual health care provider with primary practice located at 3910 Washington Pkwy , Idaho Falls ID 83404-7596. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Pediatrics, Allopathic & Osteopathic Physicians / Pediatric Endocrinology. Allopathic & Osteopathic Physicians / Pediatric Endocrinology is his primary health care specialty. Smith, Joshua Michael can be contacted via phone (208) 523-1122.Contact Information
Primary practice address
3910 Washington Pkwy
Idaho Falls ID 83404-7596
Phone: (208) 523-1122
Fax: (208) 523-2582
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Pediatrics | 208000000X | 30283 | South Carolina |
| Allopathic & Osteopathic Physicians / Pediatrics | 208000000X | 63960 | Georgia |
| Allopathic & Osteopathic Physicians / Pediatrics | 208000000X | N8989 | Texas |
| Allopathic & Osteopathic Physicians / Pediatric Endocrinology | 2080P0205X | N8989 | Texas |
| Allopathic & Osteopathic Physicians / Pediatric Endocrinology | 2080P0205X | M13504 | Idaho |
Profile Details
| NPI number | 1154528727 |
|---|---|
| LBN Legal business name | Smith, Joshua Michael |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jun 28th, 2007 |
| Last updated | Sep 2nd, 2021 - 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1154528727 | NPPES |
| Idaho | MEDICAID | 1154528727 | |
| Idaho | MEDICAID | 312219409 | |
| Idaho | MEDICAID | 312219410 |
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