Smith, Richard K

Smith, Richard K is an individual health care provider with primary practice located at 4790 Cottonville Rd , Jamestown OH 45335-1518. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / General Practice, Allopathic & Osteopathic Physicians / Family Medicine. Allopathic & Osteopathic Physicians / Family Medicine is his primary health care specialty. Smith, Richard K can be contacted via phone (937) 675-2870.

Contact Information

Primary practice address
4790 Cottonville Rd Jamestown OH 45335-1518
Phone: (937) 675-2870
Fax: (937) 675-2873
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / General Practice 208D00000X 34004133 Ohio
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X 34.004133 Ohio

Profile Details

NPI number 1700886041
LBN Legal business name Smith, Richard K
Credentials Doctor of Osteopathy (DO)
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 28th, 2005
Last updated Apr 24th, 2023 - 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 1700886041 NPPES
Ohio MEDICAID 0900243

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