Smith, Leroy Carter
Smith, Leroy Carter is an individual health care provider with primary practice located at 2755 Silver Creek Rd Suite 111, Bullhead City AZ 86442-7904. He recently has 3 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Adult Medicine, Allopathic & Osteopathic Physicians / Geriatric Medicine, Allopathic & Osteopathic Physicians / Surgery. Allopathic & Osteopathic Physicians / Surgery is his primary health care specialty. Smith, Leroy Carter can be contacted via phone (928) 704-7163.Contact Information
Primary practice address
2755 Silver Creek Rd Suite 111
Bullhead City AZ 86442-7904
Phone: (928) 704-7163
Fax: (928) 704-7140
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Adult Medicine | 207QA0505X | 26371 | North Carolina |
| Allopathic & Osteopathic Physicians / Geriatric Medicine | 207QG0300X | 26371 | North Carolina |
| Allopathic & Osteopathic Physicians / Surgery | 208600000X | 41584 | Arizona |
Profile Details
| NPI number | 1700830601 |
|---|---|
| LBN Legal business name | Smith, Leroy Carter |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | May 22nd, 2006 |
| Last updated | Feb 21st, 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 | 1700830601 | NPPES |
| North Carolina | MEDICAID | 8977958 | |
| North Carolina | MEDICAID | 412862 |
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