Smith, Todd W

Smith, Todd W is an individual health care provider with primary practice located at 39000 Bob Hope Dr , Rancho Mirage CA 92270-3221. He recently has only one registered license in Allopathic & Osteopathic Physicians / Anesthesiology, which is considered as his primary health care specialty. Smith, Todd W can be contacted via phone (760) 340-3911.

Contact Information

Primary practice address
39000 Bob Hope Dr Rancho Mirage CA 92270-3221
Fax: (760) 773-1497
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Anesthesiology 207L00000X 20A7675 California

Profile Details

NPI number 1831187111
LBN Legal business name Smith, Todd W
Credentials Doctor of Osteopathy (DO)
Entity Individual
Sole proprietor 1 No
Enumeration date Oct 11th, 2005
Last updated Feb 26th, 2020 - about 4 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 1831187111 NPPES
California Other 020A76750 BLUE SHIELD
California MEDICAID 00AX76750 BLUE SHIELD

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