Smith, Stephen Dale

Smith, Stephen Dale is an sole proprietor health care provider with primary practice located at 2825 Fort Missoula Rd #115, Missoula MT 59804-7420. He recently has only one registered license in Allopathic & Osteopathic Physicians / Obstetrics & Gynecology, which is considered as his primary health care specialty. Smith, Stephen Dale can be contacted via phone (406) 728-4292.

Contact Information

Primary practice address
2825 Fort Missoula Rd #115 Missoula MT 59804-7420
Phone: (406) 728-4292
Fax: (406) 728-5770
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Obstetrics & Gynecology 207V00000X 4309 Montana

Profile Details

NPI number 1982654257
LBN Legal business name Smith, Stephen Dale
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 Yes
Enumeration date May 10th, 2006
Last updated Dec 20th, 2007 - about 18 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 1982654257 NPPES
Montana MEDICAID 0043563

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