Smith, Richard D
Smith, Richard D is an individual health care provider with primary practice located at 3510 Magnolia Cove Ste 120, Monroe LA 71203. He recently has only one registered license in Allopathic & Osteopathic Physicians / Internal Medicine, which is considered as his primary health care specialty. Smith, Richard D can be contacted via phone (318) 966-8700.Contact Information
Primary practice address
3510 Magnolia Cove Ste 120
Monroe LA 71203
Phone: (318) 966-8700
Fax: (318) 329-2950
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Allopathic & Osteopathic Physicians / Internal Medicine | 207R00000X | 05728R | Louisiana |
Profile Details
NPI number | 1053350009 |
---|---|
LBN Legal business name | Smith, Richard D |
Credentials | Doctor of Medicine (MD) |
Entity | Individual |
Sole proprietor 1 | No |
Enumeration date | Jun 5th, 2006 |
Last updated | Aug 8th, 2022 - about 2 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 | 1053350009 | NPPES |
Louisiana | Other | 05728R | LICENSE |
Louisiana | MEDICAID | 1340910 | LICENSE |
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