Smith, Michael K

Smith, Michael K is an individual health care provider with primary practice located at 940 Se Cary Parkway Suite 200, Cary NC 27511-6130. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Pediatrics, Allopathic & Osteopathic Physicians / Adolescent Medicine. Allopathic & Osteopathic Physicians / Pediatrics is his primary health care specialty. Smith, Michael K can be contacted via phone (919) 859-9991.

Contact Information

Primary practice address
940 Se Cary Parkway Suite 200 Cary NC 27511-6130
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Pediatrics 208000000X 28089 North Carolina
Allopathic & Osteopathic Physicians / Adolescent Medicine 2080A0000X 28089 North Carolina

Profile Details

NPI number 1477517415
LBN Legal business name Smith, Michael K
Credentials MF
Entity Individual
Sole proprietor 1 No
Enumeration date Apr 14th, 2006
Last updated Jul 8th, 2007 - about 17 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 1477517415 NPPES
North Carolina MEDICAID 8978009

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