Smith, Stephen G
Smith, Stephen G is an sole proprietor health care provider with primary practice located at 17300 N Outer 40 Suite 100, Chesterfield MO 63005-1361. He recently has only one registered license in Allopathic & Osteopathic Physicians / Pain Medicine, which is considered as his primary health care specialty. Smith, Stephen G can be contacted via phone (636) 519-8889.Contact Information
Primary practice address
17300 N Outer 40 Suite 100
Chesterfield MO 63005-1361
Phone: (636) 519-8889
Fax: (636) 536-0120
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Allopathic & Osteopathic Physicians / Pain Medicine | 207LP2900X | R3N29 | Missouri |
Profile Details
NPI number | 1811988942 |
---|---|
LBN Legal business name | Smith, Stephen G |
Credentials | Doctor of Medicine (MD) |
Entity | Individual |
Sole proprietor 1 | Yes |
Enumeration date | Oct 28th, 2005 |
Last updated | Mar 7th, 2023 - 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.
Identifiers
State | Type | Number | Issuer |
---|---|---|---|
All States | NPI | 1811988942 | NPPES |
Missouri | Other | 110827 | BCBS |
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