Smith, Michael Joseph

Smith, Michael Joseph is an individual health care provider with primary practice located at 210 E Gray St Ste 802, Louisville KY 40202-3904. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Pediatrics, Allopathic & Osteopathic Physicians / Pediatric Infectious Diseases. Allopathic & Osteopathic Physicians / Pediatric Infectious Diseases is his primary health care specialty. Smith, Michael Joseph can be contacted via phone (502) 588-2348.

Contact Information

Primary practice address
210 E Gray St Ste 802 Louisville KY 40202-3904
Phone: (502) 588-2348
Fax: (502) 588-2334
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Pediatrics 208000000X 41086 Kentucky
Allopathic & Osteopathic Physicians / Pediatric Infectious Diseases 2080P0208X 41086 Kentucky

Profile Details

NPI number 1336340454
LBN Legal business name Smith, Michael Joseph
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date May 29th, 2007
Last updated Sep 4th, 2014 - about 11 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 1336340454 NPPES
Kentucky MEDICAID 7100021340
Kentucky MEDICAID 200890490

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