Smith, Michael
Smith, Michael is an individual health care provider with primary practice located at 3201 S Loop 256 Ste 610, Palestine TX 75801-6901. He recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as his primary health care specialty. Smith, Michael can be contacted via phone (903) 729-6768.Contact Information
Primary practice address
3201 S Loop 256 Ste 610
Palestine TX 75801-6901
Phone: (903) 729-6768
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Family Medicine | 207Q00000X | K5007 | Texas |
Profile Details
| NPI number | 1750384459 |
|---|---|
| LBN Legal business name | Smith, Michael |
| Credentials | Doctor of Osteopathy (DO) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | May 27th, 2005 |
| Last updated | Dec 6th, 2022 - 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 | 1750384459 | NPPES |
| Texas | MEDICAID | 039784601 |
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