Smith, Perry M
Smith, Perry M is an individual health care provider with primary practice located at 1309 Polk St , Great Bend KS 67530-3618. He recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as his primary health care specialty. Smith, Perry M can be contacted via phone (620) 792-5341.Contact Information
Primary practice address
1309 Polk St
Great Bend KS 67530-3618
Phone: (620) 792-5341
Fax: (620) 792-3702
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Family Medicine | 207Q00000X | 04-17929 | Kansas |
Profile Details
| NPI number | 1124029392 |
|---|---|
| LBN Legal business name | Smith, Perry M |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Aug 9th, 2005 |
| Last updated | Jul 8th, 2007 - 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1124029392 | NPPES |
| Kansas | Other | 017892 | BLUE SHIELD |
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