Smith, Stacey Lynn

Smith, Stacey Lynn is an individual health care provider with primary practice located at 3985 Shady Pointe Row , Greenwood IN 46143-8479. She recently has only one registered license in Allopathic & Osteopathic Physicians / Pediatrics, which is considered as her primary health care specialty. Smith, Stacey Lynn can be contacted via phone (317) 300-1941.

Contact Information

Primary practice address
3985 Shady Pointe Row Greenwood IN 46143-8479
Phone: (317) 300-1941
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Pediatrics 208000000X R1083 Kentucky
Allopathic & Osteopathic Physicians / Pediatrics 208000000X 01064927A Indiana

Profile Details

NPI number 1356486682
LBN Legal business name Smith, Stacey Lynn
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Feb 21st, 2007
Last updated Apr 24th, 2024 - about last year

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 1356486682 NPPES
Indiana MEDICAID 200918800
Indiana Other 1102425183

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