Smith, Michael B

Smith, Michael B is an individual health care provider with primary practice located at 700 S 320Th St Suite B, Federal Way WA 98003-4691. He recently has only one registered license in Allopathic & Osteopathic Physicians / Obstetrics & Gynecology, which is considered as his primary health care specialty. Smith, Michael B can be contacted via phone (253) 838-1520.

Contact Information

Primary practice address
700 S 320Th St Suite B Federal Way WA 98003-4691
Phone: (253) 838-1520
Fax: (253) 838-4933
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Obstetrics & Gynecology 207V00000X MD00021374 Washington

Profile Details

NPI number 1538189428
LBN Legal business name Smith, Michael B
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 20th, 2006
Last updated Dec 30th, 2008 - about 16 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 1538189428 NPPES
Washington Other 0650736 AETNA MANAGED CARE
Washington MEDICAID 1048727 AETNA MANAGED CARE
Washington Other 4078987 AETNA MANAGED CARE
Washington Other SM6887 AETNA MANAGED CARE
Washington Other 7117773 AETNA MANAGED CARE

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