Smith, Michael Dorian
Smith, Michael Dorian is an sole proprietor health care provider with primary practice located at 1241 Mall Dr , Richmond VA 23235-4737. He recently has only one registered license in Behavioral Health & Social Service Providers / Professional, which is considered as his primary health care specialty. Smith, Michael Dorian can be contacted via phone (804) 794-8828.Contact Information
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Professional | 101YP2500X | 0701000583 | Virginia |
Profile Details
| NPI number | 1124073853 |
|---|---|
| LBN Legal business name | Smith, Michael Dorian |
| Credentials | PHD |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | May 23rd, 2006 |
| Last updated | Apr 17th, 2019 - about 6 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 | 1124073853 | NPPES |
| Virginia | Other | 084256 | SENTARA |
| Virginia | Other | 082305 | SENTARA |
| Virginia | MEDICAID | 005407036 | SENTARA |
| Virginia | Other | 87647 | SENTARA |
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