Smith, Justin J
Smith, Justin J is an individual health care provider with primary practice located at 19895 Detroit Rd , Rocky River OH 44116-1815. He recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as his primary health care specialty. Smith, Justin J can be contacted via phone (440) 356-5500.Contact Information
Primary practice address
19895 Detroit Rd
Rocky River OH 44116-1815
Phone: (440) 356-5500
Fax: (440) 356-0660
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Family Medicine | 207Q00000X | 34006605 | Ohio |
Profile Details
| NPI number | 1881796068 |
|---|---|
| LBN Legal business name | Smith, Justin J |
| Credentials | Doctor of Osteopathy (DO) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Sep 1st, 2006 |
| Last updated | Oct 28th, 2012 - 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1881796068 | NPPES |
| Ohio | MEDICAID | 2197073 | |
| Ohio | Other | 000000141846 |
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