Smith, Mark S
Smith, Mark S is an individual health care provider with primary practice located at 1200 6Th St Suite 200, Traverse City MI 49684-2369. He recently has only one registered license in Allopathic & Osteopathic Physicians / Cardiovascular Disease, which is considered as his primary health care specialty. Smith, Mark S can be contacted via phone (231) 935-5800.Contact Information
Primary practice address
1200 6Th St Suite 200
Traverse City MI 49684-2369
Phone: (231) 935-5800
Fax: (231) 935-5822
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Cardiovascular Disease | 207RC0000X | 4301055166 | Michigan |
Profile Details
| NPI number | 1659313658 |
|---|---|
| LBN Legal business name | Smith, Mark S |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jun 12th, 2006 |
| Last updated | Jul 9th, 2012 - about 12 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 | 1659313658 | NPPES |
| Michigan | Other | 060B86046 | GROUP BLUE SHIELD NUMBER |
| Michigan | MEDICAID | 2753469 | GROUP BLUE SHIELD NUMBER |
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