Smith, Paul Gordon

Smith, Paul Gordon is an individual health care provider with primary practice located at 5333 Mcauley Drive Suite 4003, Ypsilanti MI 48197-1099. He recently has only one registered license in Allopathic & Osteopathic Physicians / Nephrology, which is considered as his primary health care specialty. Smith, Paul Gordon can be contacted via phone (734) 712-3470.

Contact Information

Primary practice address
5333 Mcauley Drive Suite 4003 Ypsilanti MI 48197-1099
Phone: (734) 712-3470
Fax: (734) 712-2935
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Nephrology 207RN0300X 4301040968 Michigan

Profile Details

NPI number 1174583173
LBN Legal business name Smith, Paul Gordon
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Mar 24th, 2006
Last updated Feb 9th, 2011 - 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 1174583173 NPPES
Michigan MEDICAID 4261954-10

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