Smith, Todd C

Smith, Todd C is an individual health care provider with primary practice located at 1409 E Briggsmore Ave , Modesto CA 95355-2707. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Orthopaedic Surgery, Allopathic & Osteopathic Physicians / Hand Surgery. Allopathic & Osteopathic Physicians / Hand Surgery is his primary health care specialty. Smith, Todd C can be contacted via phone (209) 550-4725.

Contact Information

Primary practice address
1409 E Briggsmore Ave Modesto CA 95355-2707
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Orthopaedic Surgery 207X00000X G83519 California
Allopathic & Osteopathic Physicians / Hand Surgery 207XS0106X G83519 California

Profile Details

NPI number 1104875517
LBN Legal business name Smith, Todd C
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date May 10th, 2006
Last updated Jul 25th, 2011 - about 13 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 1104875517 NPPES
California MEDICAID 00G835190

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