Smith, Stephan John
Smith, Stephan John is an individual health care provider with primary practice located at 11319 South Saginaw Street , Grand Blanc MI 48439-1268. He recently has only one registered license in Chiropractic Providers / Chiropractor, which is considered as his primary health care specialty. Smith, Stephan John can be contacted via phone (810) 694-2200.Contact Information
Primary practice address
11319 South Saginaw Street
Grand Blanc MI 48439-1268
Phone: (810) 694-2200
Fax: (810) 694-6750
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Chiropractic Providers / Chiropractor | 111N00000X | 2301007830 | Michigan |
Profile Details
| NPI number | 1821180266 |
|---|---|
| LBN Legal business name | Smith, Stephan John |
| Credentials | Doctor of Chiropractic (DC) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Sep 29th, 2006 |
| Last updated | Jul 8th, 2007 - about 17 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1821180266 | NPPES |
| Other | P00009050 | MEDICARE RAILROAD CARRIER | |
| Other | 01006003 | MEDICARE RAILROAD CARRIER | |
| Other | 1006672 | MEDICARE RAILROAD CARRIER |
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