Smith, Richard C
Smith, Richard C is an individual health care provider with primary practice located at 2729 S Highway 65 82 , Lake Village AR 71653-6136. He recently has only one registered license in Allopathic & Osteopathic Physicians / Diagnostic Radiology, which is considered as his primary health care specialty. Smith, Richard C can be contacted via phone (870) 632-9091.Contact Information
Primary practice address
2729 S Highway 65 82
Lake Village AR 71653-6136
Phone: (870) 632-9091
Fax: (662) 537-4888
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Diagnostic Radiology | 2085R0202X | 15057 | Mississippi |
| Allopathic & Osteopathic Physicians / Diagnostic Radiology | 2085R0202X | E-6378 | Arkansas |
Profile Details
| NPI number | 1831206515 |
|---|---|
| LBN Legal business name | Smith, Richard C |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Aug 25th, 2006 |
| Last updated | May 4th, 2010 - about 15 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 | 1831206515 | NPPES |
| Other | P00316066 | RR MEDICARE | |
| MEDICAID | 1538043 | RR MEDICARE | |
| MEDICAID | 140263001 | RR MEDICARE | |
| MEDICAID | 00334503 | RR MEDICARE |
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