Smith, Michael Thomas

Smith, Michael Thomas is an individual health care provider with primary practice located at 1805 27Th St , Portsmouth OH 45662-2686. He recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Acute Care, which is considered as his primary health care specialty. Smith, Michael Thomas can be contacted via phone (740) 356-6891.

Contact Information

Primary practice address
1805 27Th St Portsmouth OH 45662-2686
Phone: (740) 356-6891
Fax: (740) 356-1280
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Acute Care 363LA2100X COA.15732-NP Ohio

Profile Details

NPI number 1902223423
LBN Legal business name Smith, Michael Thomas
Credentials ACNP
Entity Individual
Sole proprietor 1 No
Enumeration date Mar 21st, 2014
Last updated May 5th, 2023 - about last year

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 1902223423 NPPES
Kentucky MEDICAID 7100283180
Kentucky MEDICAID 0100828

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