Smith, Michael Kenneth
Smith, Michael Kenneth is an individual health care provider with primary practice located at 17375 Hall Rd , Macomb Township MI 48044-4060. He recently has only one registered license in Allopathic & Osteopathic Physicians / Surgery, which is considered as his primary health care specialty. Smith, Michael Kenneth can be contacted via phone (586) 228-0550.Contact Information
Primary practice address
17375 Hall Rd
Macomb Township MI 48044-4060
Phone: (586) 228-0550
Fax: (586) 228-8125
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Surgery | 208600000X | 5101007651 | Michigan |
Profile Details
| NPI number | 1881684983 |
|---|---|
| LBN Legal business name | Smith, Michael Kenneth |
| Credentials | Doctor of Osteopathy (DO) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Oct 28th, 2005 |
| Last updated | Apr 15th, 2008 - 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1881684983 | NPPES |
| Michigan | MEDICAID | 1886059 |
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