Smith, Terry Jay

Smith, Terry Jay is an individual health care provider with primary practice located at 1000 Wall Street , Ann Arbor MI 48109-1912. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Internal Medicine, Allopathic & Osteopathic Physicians / Endocrinology, Diabetes & Metabolism. Allopathic & Osteopathic Physicians / Internal Medicine is his primary health care specialty. Smith, Terry Jay can be contacted via phone (734) 764-4190.

Contact Information

Primary practice address
1000 Wall Street Ann Arbor MI 48109-1912
Phone: (734) 764-4190
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Internal Medicine 207R00000X 4301093452 Michigan
Allopathic & Osteopathic Physicians / Endocrinology, Diabetes & Metabolism 207RE0101X G35310 California
Allopathic & Osteopathic Physicians / Endocrinology, Diabetes & Metabolism 207RE0101X 4301093452 Michigan

Profile Details

NPI number 1306857313
LBN Legal business name Smith, Terry Jay
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 11th, 2006
Last updated Apr 10th, 2009 - about 15 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 1306857313 NPPES
California MEDICAID 00G353100

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