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:
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Health care specialties

SpecialtyCodeLicense #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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1952362170 NPPES
Alaska MEDICAID 4654
Alaska MEDICAID 1014588

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