Smith, Michelle C
Smith, Michelle C is an sole proprietor health care provider with primary practice located at 3709 Nash St Nw , Wilson NC 27896-1127. She recently has only one registered license in Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder), which is considered as her primary health care specialty. Smith, Michelle C can be contacted via phone (252) 206-5799.Contact Information
Primary practice address
3709 Nash St Nw
Wilson NC 27896-1127
Phone: (252) 206-5799
Fax: (252) 206-5778
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder) | 101YA0400X | 733 | North Carolina |
Profile Details
NPI number | 1164743662 |
---|---|
LBN Legal business name | Smith, Michelle C |
Credentials | MS, LCAS, CCS |
Entity | Individual |
Sole proprietor 1 | Yes |
Enumeration date | Jun 18th, 2010 |
Last updated | Oct 1st, 2015 - about 10 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 | 1164743662 | NPPES |
North Carolina | MEDICAID | PENDING |
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