Smith, Roderic
Smith, Roderic is an sole proprietor health care provider with primary practice located at 3340 Providence Dr Suite A567, Anchorage AK 99508-4691. He recently has only one registered license in Allopathic & Osteopathic Physicians / Neurology with Special Qualifications in Child Neurology, which is considered as his primary health care specialty. Smith, Roderic can be contacted via phone (907) 212-2321.Contact Information
Primary practice address
3340 Providence Dr Suite A567
Anchorage AK 99508-4691
Phone: (907) 212-2321
Fax: (907) 212-8499
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Allopathic & Osteopathic Physicians / Neurology with Special Qualifications in Child Neurology | 2084N0402X | 4904 | Alaska |
Profile Details
NPI number | 1952362170 |
---|---|
LBN Legal business name | Smith, Roderic |
Credentials | M.D., PH.D |
Entity | Individual |
Sole proprietor 1 | Yes |
Enumeration date | Mar 29th, 2006 |
Last updated | Oct 2nd, 2020 - about 4 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 | 1952362170 | NPPES |
Alaska | MEDICAID | 4654 | |
Alaska | MEDICAID | 1014588 |
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