Smith, Michael Alan

Smith, Michael Alan is an individual health care provider with primary practice located at 100 N Avenue D , Burkburnett TX 76354-3509. He recently has 3 registered licenses in different health care specialties including Nursing Service Providers / Neonatal, Low-Risk, Nursing Service Providers / Pediatrics, Nursing Service Providers / School. Nursing Service Providers / School is his primary health care specialty. Smith, Michael Alan can be contacted via phone (940) 569-3381.

Contact Information

Primary practice address
100 N Avenue D Burkburnett TX 76354-3509
Phone: (940) 569-3381
Fax: (940) 569-2499
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Nursing Service Providers / Neonatal, Low-Risk 163WN0003X 869768 Texas
Nursing Service Providers / Pediatrics 163WP0200X 869768 Texas
Nursing Service Providers / School 163WS0200X 869768 Texas

Profile Details

NPI number 1235804212
LBN Legal business name Smith, Michael Alan
Credentials Registered Nurse (RN)
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 12th, 2021
Last updated Jan 18th, 2024 - about 11 months 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 1235804212 NPPES
Texas Other 869768 TEXAS BOARD OF NURSING

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