Smith, Michael Jay
Smith, Michael Jay is an individual health care provider with primary practice located at 225 E Jackson Ave , Jonesboro AR 72401-3119. He recently has only one registered license in Allopathic & Osteopathic Physicians / Diagnostic Radiology, which is considered as his primary health care specialty. Smith, Michael Jay can be contacted via phone (870) 932-0639.Contact Information
Primary practice address
225 E Jackson Ave
Jonesboro AR 72401-3119
Phone: (870) 932-0639
Fax: (870) 932-0526
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Diagnostic Radiology | 2085R0202X | C5933 | Arkansas |
Profile Details
| NPI number | 1932104973 |
|---|---|
| LBN Legal business name | Smith, Michael Jay |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jun 16th, 2005 |
| Last updated | Feb 15th, 2011 - about 13 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 | 1932104973 | NPPES |
| Missouri | MEDICAID | 208892000 | |
| Missouri | MEDICAID | 105389001 |
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