Smithers, Jeffrey Daniel

Smithers, Jeffrey Daniel is an individual health care provider with primary practice located at 2605 E Creeks Edge Dr , Bloomington IN 47401-8368. He recently has 3 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Internal Medicine, Allopathic & Osteopathic Physicians / Pediatrics, Allopathic & Osteopathic Physicians / Sports Medicine. Allopathic & Osteopathic Physicians / Sports Medicine is his primary health care specialty. Smithers, Jeffrey Daniel can be contacted via phone (812) 333-2663.

Contact Information

Primary practice address
2605 E Creeks Edge Dr Bloomington IN 47401-8368
Phone: (812) 333-2663
Fax: (812) 355-2310
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Internal Medicine 207R00000X 01075102A Indiana
Allopathic & Osteopathic Physicians / Pediatrics 208000000X 01075102A Indiana
Allopathic & Osteopathic Physicians / Sports Medicine 207RS0010X 01075102A Indiana

Profile Details

NPI number 1437370806
LBN Legal business name Smithers, Jeffrey Daniel
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date May 1st, 2007
Last updated Mar 16th, 2021 - about 3 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 1437370806 NPPES
Indiana MEDICAID 201291450

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