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
Fax: (318) 329-2950
Website:

Health care specialties

SpecialtyCodeLicense #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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1053350009 NPPES
Louisiana Other 05728R LICENSE
Louisiana MEDICAID 1340910 LICENSE

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