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
Fax: (231) 421-8059
Website:

Health care specialties

SpecialtyCodeLicense #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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1710088414 NPPES
Michigan MEDICAID 3059146

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