Smith, Richard Lee
Smith, Richard Lee is an individual health care provider with primary practice located at 1502 N Jefferson St , Carrollton MO 64633-1948. He recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as his primary health care specialty. Smith, Richard Lee can be contacted via phone (660) 542-9998.Contact Information
Primary practice address
1502 N Jefferson St
Carrollton MO 64633-1948
Phone: (660) 542-9998
Fax: (660) 542-9880
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Family Medicine | 207Q00000X | 107238 | Missouri |
Profile Details
| NPI number | 1861448664 |
|---|---|
| LBN Legal business name | Smith, Richard Lee |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | May 25th, 2006 |
| Last updated | Oct 29th, 2021 - about 3 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 | 1861448664 | NPPES |
| Missouri | MEDICAID | 208178913 |
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