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:
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Health care specialties

SpecialtyCodeLicense #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 18 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 1710088752 NPPES
California MEDICAID G470110

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