Smith, Mary K
Smith, Mary K is an individual health care provider with primary practice located at 3120 Glendale Ave , Toledo OH 43614-5811. She recently has only one registered license in Allopathic & Osteopathic Physicians / Psychiatry, which is considered as her primary health care specialty. Smith, Mary K can be contacted via phone (419) 383-5695.Contact Information
Primary practice address
3120 Glendale Ave
Toledo OH 43614-5811
Phone: (419) 383-5695
Fax: (419) 383-3031
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Psychiatry | 2084P0800X | 35069503 | Ohio |
Profile Details
| NPI number | 1629063177 |
|---|---|
| LBN Legal business name | Smith, Mary K |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Sep 12th, 2005 |
| Last updated | Apr 25th, 2008 - 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 | 1629063177 | NPPES |
| Ohio | MEDICAID | 0279078 |
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