Smith, Rico

Smith, Rico is an sole proprietor health care provider with primary practice located at 314 E Green St , Macon MS 39341-2850. He recently has only one registered license in Behavioral Health & Social Service Providers / Prescribing (Medical), which is considered as his primary health care specialty. Smith, Rico can be contacted via phone (662) 228-1435.

Contact Information

Primary practice address
314 E Green St Macon MS 39341-2850
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Prescribing (Medical) 103TP0016X 2728292 Mississippi

Profile Details

NPI number 1447886502
LBN Legal business name Smith, Rico
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Mar 19th, 2020
Last updated Mar 20th, 2020 - about 5 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 1447886502 NPPES
Mississippi MEDICAID 84-2217156

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