Smith, Richard Thomas
Smith, Richard Thomas is an individual health care provider with primary practice located at 1001 Blythe Blvd Suite 200D, Charlotte NC 28203-5866. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Pediatrics, Allopathic & Osteopathic Physicians / Pediatric Cardiology. Allopathic & Osteopathic Physicians / Pediatric Cardiology is his primary health care specialty. Smith, Richard Thomas can be contacted via phone (704) 373-1813.Contact Information
Primary practice address
1001 Blythe Blvd Suite 200D
Charlotte NC 28203-5866
Phone: (704) 373-1813
Fax: (704) 342-5871
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Pediatrics | 208000000X | 31905 | North Carolina |
| Allopathic & Osteopathic Physicians / Pediatrics | 208000000X | 9406 | South Carolina |
| Allopathic & Osteopathic Physicians / Pediatric Cardiology | 2080P0202X | 31905 | North Carolina |
| Allopathic & Osteopathic Physicians / Pediatric Cardiology | 2080P0202X | 9406 | South Carolina |
Profile Details
| NPI number | 1801806377 |
|---|---|
| LBN Legal business name | Smith, Richard Thomas |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Aug 8th, 2006 |
| Last updated | Apr 25th, 2014 - about 10 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 | 1801806377 | NPPES |
| North Carolina | MEDICAID | 7978028 | |
| North Carolina | MEDICAID | N31905 | |
| North Carolina | MEDICAID | 1801806377 | |
| North Carolina | Other | 78028 |
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