Smith, Marshall E.
Smith, Marshall E. is an individual health care provider with primary practice located at 100 N Medical Dr , Salt Lake City UT 84113-1103. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Otolaryngology, Allopathic & Osteopathic Physicians / Pediatric Otolaryngology. Allopathic & Osteopathic Physicians / Pediatric Otolaryngology is his primary health care specialty. Smith, Marshall E. can be contacted via phone (801) 581-2121.Contact Information
Primary practice address
100 N Medical Dr
Salt Lake City UT 84113-1103
Phone: (801) 581-2121
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Otolaryngology | 207Y00000X | 333284-1205 | Utah |
| Allopathic & Osteopathic Physicians / Pediatric Otolaryngology | 207YP0228X | 333284-1205 | Utah |
Profile Details
| NPI number | 1154411783 |
|---|---|
| LBN Legal business name | Smith, Marshall E. |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Oct 13th, 2006 |
| Last updated | Nov 17th, 2021 - about 3 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 | 1154411783 | NPPES |
| Utah | MEDICAID | D1815 | |
| Utah | MEDICAID | 805065800 | |
| Utah | Other | 990009279 |
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