Smith, Michael J

Smith, Michael J is an individual health care provider with primary practice located at 611 W Park St Emergency Med., Urbana IL 61801-2529. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Emergency Medicine, Allopathic & Osteopathic Physicians / Emergency Medical Services. Allopathic & Osteopathic Physicians / Emergency Medical Services is his primary health care specialty. Smith, Michael J can be contacted via phone (217) 383-3313.

Contact Information

Primary practice address
611 W Park St Emergency Med. Urbana IL 61801-2529
Phone: (217) 383-3313
Fax: (217) 383-4014
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Emergency Medicine 207P00000X 01063120 Indiana
Allopathic & Osteopathic Physicians / Emergency Medical Services 207PE0004X 036141508 Illinois

Profile Details

NPI number 1861491599
LBN Legal business name Smith, Michael J
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 15th, 2005
Last updated Mar 23rd, 2017 - about 7 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 1861491599 NPPES
Indiana Other 000000517783 ANTHEM
Indiana MEDICAID 200858510 ANTHEM

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