Smith, Stephen M.

Smith, Stephen M. is an individual health care provider with primary practice located at 100 Navarre Pl Suite 6600, South Bend IN 46601-1173. He recently has only one registered license in Allopathic & Osteopathic Physicians / Neurological Surgery, which is considered as his primary health care specialty. Smith, Stephen M. can be contacted via phone (574) 647-8800.

Contact Information

Primary practice address
100 Navarre Pl Suite 6600 South Bend IN 46601-1173
Fax: (574) 647-8896
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Neurological Surgery 207T00000X 01060132A Indiana

Profile Details

NPI number 1124050851
LBN Legal business name Smith, Stephen M.
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 6th, 2006
Last updated Apr 28th, 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1124050851 NPPES
Indiana MEDICAID 200511880

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