Smith, Stephen Keith
Smith, Stephen Keith is an individual health care provider with primary practice located at 969 Lakeland Dr , Jackson MS 39216-4606. He recently has only one registered license in Allopathic & Osteopathic Physicians / Psychiatry, which is considered as his primary health care specialty. Smith, Stephen Keith can be contacted via phone (601) 200-3100.Contact Information
Primary practice address
969 Lakeland Dr
Jackson MS 39216-4606
Phone: (601) 200-3100
Fax: (601) 200-3109
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Psychiatry | 2084P0800X | 21788 | Mississippi |
Profile Details
| NPI number | 1174707368 |
|---|---|
| LBN Legal business name | Smith, Stephen Keith |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Dec 24th, 2007 |
| Last updated | Apr 29th, 2015 - about 9 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 | 1174707368 | NPPES |
| Mississippi | MEDICAID | 09034221 |
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