Smith, Scott L

Smith, Scott L is an individual health care provider with primary practice located at 830 N 2000 W , Pleasant Grove UT 84062-4047. He recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as his primary health care specialty. Smith, Scott L can be contacted via phone (801) 756-3511.

Contact Information

Primary practice address
830 N 2000 W Pleasant Grove UT 84062-4047
Fax: (801) 443-1164
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X 1804361205 Utah

Profile Details

NPI number 1336257617
LBN Legal business name Smith, Scott L
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 28th, 2006
Last updated Apr 29th, 2013 - about 12 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 1336257617 NPPES
Utah MEDICAID 09661
Utah Other 18687
Utah Other 5556
Utah Other QMXAF01481
Utah Other 870293873SM1
Utah Other 107007402101
Utah Other 87029387384062B004

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