Smith, Robert S.

Smith, Robert S. is an sole proprietor health care provider with primary practice located at 3715 Main St Suite 306, Bridgeport CT 06606-3618. He recently has only one registered license in Podiatric Medicine & Surgery Service Providers / Podiatrist, which is considered as his primary health care specialty. Smith, Robert S. can be contacted via phone (203) 373-1775.

Contact Information

Primary practice address
3715 Main St Suite 306 Bridgeport CT 06606-3618
Phone: (203) 373-1775
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Podiatric Medicine & Surgery Service Providers / Podiatrist 213E00000X POO351 Connecticut

Profile Details

NPI number 1811981749
LBN Legal business name Smith, Robert S.
Credentials Doctor of Podiatric Medicine (DPM)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Sep 7th, 2005
Last updated Dec 11th, 2007 - about 17 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 1811981749 NPPES
Connecticut Other 061364754 PRIVATE INSURANCE /TAX ID
Connecticut Other 4800009600 PRIVATE INSURANCE /TAX ID
Connecticut Other 030000351CT03 PRIVATE INSURANCE /TAX ID
Connecticut MEDICAID 4078037 PRIVATE INSURANCE /TAX ID
Connecticut Other 0004271631 PRIVATE INSURANCE /TAX ID
Connecticut Other 003935 PRIVATE INSURANCE /TAX ID
Connecticut Other 6320755 PRIVATE INSURANCE /TAX ID

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