Smith, Mark S

Smith, Mark S is an sole proprietor health care provider with primary practice located at 13549 Midlothian Tpke , Midlothian VA 23113-4261. He recently has only one registered license in Chiropractic Providers / Neurology, which is considered as his primary health care specialty. Smith, Mark S can be contacted via phone (804) 897-9194.

Contact Information

Primary practice address
13549 Midlothian Tpke Midlothian VA 23113-4261
Phone: (804) 897-9194
Fax: (804) 794-3734
Website:
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Health care specialties

SpecialtyCodeLicense #State
Chiropractic Providers / Neurology 111NN0400X 0104000196 Virginia

Profile Details

NPI number 1508953860
LBN Legal business name Smith, Mark S
Credentials DC PC
Entity Individual
Sole proprietor 1 Yes
Enumeration date Oct 6th, 2006
Last updated Oct 27th, 2016 - about 8 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 1508953860 NPPES
Virginia Other 177764 ANTHEM BC/BS ID
Virginia Other 541182330 ANTHEM BC/BS ID

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