Smith, Wayne A

Smith, Wayne A is an individual health care provider with primary practice located at 781 Lakeshire Trail , Adrian MI 49221-1561. He recently has only one registered license in Allopathic & Osteopathic Physicians / Internal Medicine, which is considered as his primary health care specialty. Smith, Wayne A can be contacted via phone (517) 265-0600.

Contact Information

Primary practice address
781 Lakeshire Trail Adrian MI 49221-1561
Fax: (517) 263-0024
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Internal Medicine 207R00000X 4301072226 Michigan

Profile Details

NPI number 1023005436
LBN Legal business name Smith, Wayne A
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Sep 30th, 2005
Last updated May 28th, 2015 - about 10 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 1023005436 NPPES
Michigan MEDICAID 3470600

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