Smith, Michael D
Smith, Michael D is an individual health care provider with primary practice located at 260 Montauk Hwy Ste-8, Bay Shore NY 11706. He recently has only one registered license in Behavioral Health & Social Service Providers / Social Worker, which is considered as his primary health care specialty. Smith, Michael D can be contacted via phone (631) 647-9009.Contact Information
Primary practice address
260 Montauk Hwy Ste-8
Bay Shore NY 11706
Phone: (631) 647-9009
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Social Worker | 104100000X | R0551041 | New York |
Profile Details
| NPI number | 1932172012 |
|---|---|
| LBN Legal business name | Smith, Michael D |
| Credentials | LCSWR |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Feb 9th, 2006 |
| Last updated | Apr 3rd, 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 | 1932172012 | NPPES |
| Other | MHS273469 | VALUE OPTIONS | |
| MEDICAID | 02389706 | VALUE OPTIONS |
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