Smith, Richard D

Smith, Richard D is an individual health care provider with primary practice located at 320 Pomfret St , Putnam CT 06260-1836. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Pediatrics, Allopathic & Osteopathic Physicians / Addiction Medicine. Allopathic & Osteopathic Physicians / Pediatrics is his primary health care specialty. Smith, Richard D can be contacted via phone (860) 963-6390.

Contact Information

Primary practice address
320 Pomfret St Putnam CT 06260-1836
Phone: (860) 963-6390
Fax: (860) 963-6343
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Pediatrics 208000000X MD7534 Rhode Island
Allopathic & Osteopathic Physicians / Pediatrics 208000000X 045662 Connecticut
Allopathic & Osteopathic Physicians / Addiction Medicine 207QA0401X XS49444486 Massachusetts

Profile Details

NPI number 1215993993
LBN Legal business name Smith, Richard D
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Apr 22nd, 2006
Last updated Apr 4th, 2017 - about 7 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 1215993993 NPPES
Rhode Island MEDICAID 7001347

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