Smith, Roger Douglas

Smith, Roger Douglas is an individual health care provider with primary practice located at 1051 N Canton Center Rd , Canton MI 48187-5097. He recently has only one registered license in Allopathic & Osteopathic Physicians / Obstetrics & Gynecology, which is considered as his primary health care specialty. Smith, Roger Douglas can be contacted via phone (348) 445-2897.

Contact Information

Primary practice address
1051 N Canton Center Rd Canton MI 48187-5097
Phone: (348) 445-2897
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Obstetrics & Gynecology 207V00000X 4301059897 Michigan

Profile Details

NPI number 1154418937
LBN Legal business name Smith, Roger Douglas
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Oct 5th, 2006
Last updated Nov 11th, 2019 - 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 1154418937 NPPES
Michigan MEDICAID 4643063

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