Smith, Roger P

Smith, Roger P is an individual health care provider with primary practice located at 2801 Brookline Ct , Zionsville IN 46077-1194. He recently has only one registered license in Allopathic & Osteopathic Physicians / Obstetrics & Gynecology, which is considered as his primary health care specialty. Smith, Roger P can be contacted via phone (317) 733-8909.

Contact Information

Primary practice address
2801 Brookline Ct Zionsville IN 46077-1194
Phone: (317) 733-8909
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Obstetrics & Gynecology 207V00000X 117868 Missouri
Allopathic & Osteopathic Physicians / Obstetrics & Gynecology 207V00000X 01069201A Indiana

Profile Details

NPI number 1831163385
LBN Legal business name Smith, Roger P
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Feb 13th, 2006
Last updated Mar 5th, 2015 - about 9 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 1831163385 NPPES
Missouri MEDICAID 203906706
Missouri MEDICAID 201014010

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