Smith, Judy Lynn

Smith, Judy Lynn is an individual health care provider with primary practice located at 145 Michigan St Ne Suite 5500, Grand Rapids MI 49503-2562. She recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Surgery, Allopathic & Osteopathic Physicians / Surgical Oncology. Allopathic & Osteopathic Physicians / Surgical Oncology is her primary health care specialty. Smith, Judy Lynn can be contacted via phone (616) 267-8540.

Contact Information

Primary practice address
145 Michigan St Ne Suite 5500 Grand Rapids MI 49503-2562
Phone: (616) 267-8540
Fax: (616) 458-6230
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Surgery 208600000X 177741-1 New York
Allopathic & Osteopathic Physicians / Surgical Oncology 2086X0206X 4301104264 Michigan

Profile Details

NPI number 1154302172
LBN Legal business name Smith, Judy Lynn
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Nov 8th, 2005
Last updated Dec 16th, 2013 - about 11 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 1154302172 NPPES
Michigan Other 4301104264 MICHIGAN LICENSE
Michigan Other 1154302172 MICHIGAN LICENSE

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