Smith, Mark A.
Smith, Mark A. is an sole proprietor health care provider with primary practice located at 1100 N Palm Canyon Dr Suite 211, Palm Springs CA 92262-4414. He recently has only one registered license in Other Service Providers / Specialist, which is considered as his primary health care specialty. Smith, Mark A. can be contacted via phone (760) 320-9019.Contact Information
Primary practice address
1100 N Palm Canyon Dr Suite 211
Palm Springs CA 92262-4414
Phone: (760) 320-9019
Fax: (760) 320-9685
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Other Service Providers / Specialist | 174400000X | 00G470110 | California |
Profile Details
| NPI number | 1710088752 |
|---|---|
| LBN Legal business name | Smith, Mark A. |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Sep 25th, 2006 |
| Last updated | Jul 9th, 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1710088752 | NPPES |
| California | MEDICAID | G470110 |
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