Smith, Paul Michael

Smith, Paul Michael is an individual health care provider with primary practice located at 110 E Routt , Pueblo CO 81001. He recently has only one registered license in Other Service Providers / Specialist, which is considered as his primary health care specialty. Smith, Paul Michael can be contacted via phone (719) 543-8711.

Contact Information

Primary practice address
110 E Routt Pueblo CO 81001
Fax: (719) 543-5340
Website:

Health care specialties

SpecialtyCodeLicense #State
Other Service Providers / Specialist 174400000X 32379 Colorado

Profile Details

NPI number 1710957923
LBN Legal business name Smith, Paul Michael
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jan 23rd, 2006
Last updated Aug 19th, 2008 - about 17 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 1710957923 NPPES
Colorado MEDICAID 0132-3799

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