Smith, Todd Robert
Smith, Todd Robert is an individual health care provider with primary practice located at 3835 S Firenze Way , Meridian ID 83642-1434. He recently has only one registered license in Allopathic & Osteopathic Physicians / Emergency Medicine, which is considered as his primary health care specialty. Smith, Todd Robert can be contacted via phone (801) 699-3892.Contact Information
Primary practice address
3835 S Firenze Way
Meridian ID 83642-1434
Phone: (801) 699-3892
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Emergency Medicine | 207P00000X | MD419930 | Pennsylvania |
Profile Details
| NPI number | 1245514454 |
|---|---|
| LBN Legal business name | Smith, Todd Robert |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Oct 6th, 2011 |
| Last updated | Jul 29th, 2013 - about 11 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 | 1245514454 | NPPES |
| Other | 12547911 | CAQH |
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