Smith, Michael J

Smith, Michael J is an individual health care provider with primary practice located at 714 W Hamilton Ave , Eau Claire WI 54701-6937. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Pediatrics, Allopathic & Osteopathic Physicians / Internal Medicine. Allopathic & Osteopathic Physicians / Internal Medicine is his primary health care specialty. Smith, Michael J can be contacted via phone (715) 830-9990.

Contact Information

Primary practice address
714 W Hamilton Ave Eau Claire WI 54701-6937
Phone: (715) 830-9990
Fax: (715) 830-9995
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Pediatrics 208000000X 33571 Wisconsin
Allopathic & Osteopathic Physicians / Internal Medicine 207R00000X 33571 Wisconsin

Profile Details

NPI number 1740240076
LBN Legal business name Smith, Michael J
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Mar 23rd, 2006
Last updated Mar 11th, 2022 - about 2 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 1740240076 NPPES
Wisconsin MEDICAID 31849300

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