Smith, Louis Michael

Smith, Louis Michael is an individual health care provider with primary practice located at 22301 W Alsop Rd , Wasilla AK 99623-5023. He recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Medical, which is considered as his primary health care specialty. Smith, Louis Michael can be contacted via phone (907) 864-8100.

Contact Information

Primary practice address
22301 W Alsop Rd Wasilla AK 99623-5023
Phone: (907) 864-8100
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Medical 363AM0700X 2321 Alaska
Physician Assistants & Advanced Practice Nursing Providers / Medical 363AM0700X 1182 Alaska

Profile Details

NPI number 1669898474
LBN Legal business name Smith, Louis Michael
Credentials Physician's Assistant Certified (PA-C)
Entity Individual
Sole proprietor 1 No
Enumeration date Mar 17th, 2014
Last updated Apr 3rd, 2019 - about 5 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 1669898474 NPPES
Alaska MEDICAID 1613061

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