Smith, Lou M.
Smith, Lou M. is an individual health care provider with primary practice located at 410 N State Of Franklin Rd Ste 130 , Johnson City TN 37604-6972. She recently has 3 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Surgery, Allopathic & Osteopathic Physicians / Trauma Surgery, Allopathic & Osteopathic Physicians / Surgical Critical Care. Allopathic & Osteopathic Physicians / Surgical Critical Care is her primary health care specialty. Smith, Lou M. can be contacted via phone (423) 431-2477.Contact Information
Primary practice address
410 N State Of Franklin Rd Ste 130
Johnson City TN 37604-6972
Phone: (423) 431-2477
Fax:
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Allopathic & Osteopathic Physicians / Surgery | 208600000X | 29384 | Tennessee |
Allopathic & Osteopathic Physicians / Trauma Surgery | 2086S0127X | MD0000029384 | Tennessee |
Allopathic & Osteopathic Physicians / Surgical Critical Care | 2086S0102X | 29384 | Tennessee |
Profile Details
NPI number | 1295778421 |
---|---|
LBN Legal business name | Smith, Lou M. |
Credentials | Doctor of Medicine (MD) |
Entity | Individual |
Sole proprietor 1 | No |
Enumeration date | Jun 14th, 2006 |
Last updated | Feb 22nd, 2024 - about 10 months 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 | 1295778421 | NPPES |
Tennessee | MEDICAID | Q005015 | |
Tennessee | MEDICAID | 3339554 | |
Tennessee | MEDICAID | 1295778421 |
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