Smith, Michael Lee

Smith, Michael Lee is an individual health care provider with primary practice located at 601 Childrens Ln , Norfolk VA 23507-1910. He recently has 3 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Pediatrics, Allopathic & Osteopathic Physicians / Pediatric Emergency Medicine, Allopathic & Osteopathic Physicians / Neonatal-Perinatal Medicine. Allopathic & Osteopathic Physicians / Pediatrics is his primary health care specialty. Smith, Michael Lee can be contacted via phone (757) 668-7456.

Contact Information

Primary practice address
601 Childrens Ln Norfolk VA 23507-1910
Fax: (757) 668-9255
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Pediatrics 208000000X 0101050297 Virginia
Allopathic & Osteopathic Physicians / Pediatric Emergency Medicine 2080P0204X 0101050297 Virginia
Allopathic & Osteopathic Physicians / Neonatal-Perinatal Medicine 2080N0001X 0101050297 Virginia

Profile Details

NPI number 1003857798
LBN Legal business name Smith, Michael Lee
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 10th, 2006
Last updated Feb 10th, 2010 - about 14 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 1003857798 NPPES
Pennsylvania MEDICAID 0019147160001
Pennsylvania MEDICAID 006711979
Pennsylvania MEDICAID 790536X
Pennsylvania MEDICAID 1000034823

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