Smith, Lee Martin

Smith, Lee Martin is an individual health care provider with primary practice located at 4411 S Adams St , Marion IN 46953-5349. He recently has only one registered license in Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapist, which is considered as his primary health care specialty. Smith, Lee Martin can be contacted via phone (765) 674-4455.

Contact Information

Primary practice address
4411 S Adams St Marion IN 46953-5349
Phone: (765) 674-4455
Fax: (765) 674-3577
Website:
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Health care specialties

SpecialtyCodeLicense #State
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapist 225100000X 05001874A Indiana

Profile Details

NPI number 1730206681
LBN Legal business name Smith, Lee Martin
Credentials MS,PT
Entity Individual
Sole proprietor 1 No
Enumeration date Mar 24th, 2007
Last updated Jul 8th, 2007 - about 17 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 1730206681 NPPES
Indiana Other 000000352159 ANTHEM PROVIDER NUMBER
Indiana Other 05001874A ANTHEM PROVIDER NUMBER

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