Smith, Michael T

Smith, Michael T is an sole proprietor health care provider with primary practice located at 466 Main St , Dennis Port MA 02639-1319. He recently has only one registered license in Suppliers / Durable Medical Equipment & Medical Supplies, which is considered as his primary health care specialty. Smith, Michael T can be contacted via phone (508) 398-7723.

Contact Information

Primary practice address
466 Main St Dennis Port MA 02639-1319
Phone: (508) 398-7723
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Suppliers / Durable Medical Equipment & Medical Supplies 332B00000X Massachusetts

Profile Details

NPI number 1043334600
LBN Legal business name Smith, Michael T
Credentials
Entity Individual
Sole proprietor 1 Yes
Enumeration date Mar 19th, 2007
Last updated Jul 22nd, 2009 - about 15 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 1043334600 NPPES
Massachusetts MEDICAID 110082344A
Massachusetts MEDICAID 1598392

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