Smith, Melanie

Smith, Melanie is an individual health care provider with primary practice located at 2300 Hospital Dr Suite 200, Bossier City LA 71111-2394. She recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as her primary health care specialty. Smith, Melanie can be contacted via phone (318) 212-7830.

Contact Information

Primary practice address
2300 Hospital Dr Suite 200 Bossier City LA 71111-2394
Fax: (318) 212-7835
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X 024826 Louisiana

Profile Details

NPI number 1659317410
LBN Legal business name Smith, Melanie
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 21st, 2006
Last updated Dec 24th, 2007 - 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1659317410 NPPES
Louisiana MEDICAID 1155268

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