Smith, Karla M
Smith, Karla M is an individual health care provider with primary practice located at 4020 W Royal Dr , Traverse City MI 49684-8965. She recently has only one registered license in Allopathic & Osteopathic Physicians / Pediatrics, which is considered as her primary health care specialty. Smith, Karla M can be contacted via phone (231) 421-8099.Contact Information
Primary practice address
4020 W Royal Dr
Traverse City MI 49684-8965
Phone: (231) 421-8099
Fax: (231) 421-8059
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Allopathic & Osteopathic Physicians / Pediatrics | 208000000X | KS063261 | Michigan |
Profile Details
NPI number | 1710088414 |
---|---|
LBN Legal business name | Smith, Karla M |
Credentials | Doctor of Medicine (MD) |
Entity | Individual |
Sole proprietor 1 | No |
Enumeration date | Sep 26th, 2006 |
Last updated | Apr 3rd, 2015 - about 10 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 | 1710088414 | NPPES |
Michigan | MEDICAID | 3059146 |
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