Smith, Katie M

Smith, Katie M is an individual health care provider with primary practice located at 1044 Gilbert St , Flint MI 48532-3527. She recently has only one registered license in Other Service Providers / Prevention Professional, which is considered as her primary health care specialty. Smith, Katie M can be contacted via phone (810) 422-9406.

Contact Information

Primary practice address
1044 Gilbert St Flint MI 48532-3527
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Other Service Providers / Prevention Professional 405300000X 0000000000000 Michigan

Profile Details

NPI number 1881390979
LBN Legal business name Smith, Katie M
Credentials
Entity Individual
Sole proprietor 1 No
Enumeration date Feb 1st, 2023
Last updated Feb 1st, 2023 - about 2 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 1881390979 NPPES
Michigan MEDICAID 1417099417

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