Smock, Michael G

Smock, Michael G is an individual health care provider with primary practice located at 621 S New Ballas Rd Suite 7003-B, Saint Louis MO 63141-8232. He recently has only one registered license in Allopathic & Osteopathic Physicians / Plastic Surgery, which is considered as his primary health care specialty. Smock, Michael G can be contacted via phone (314) 251-5570.

Contact Information

Primary practice address
621 S New Ballas Rd Suite 7003-B Saint Louis MO 63141-8232
Phone: (314) 251-5570
Fax: (314) 251-5571
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Plastic Surgery 208200000X 119472 Missouri

Profile Details

NPI number 1912976028
LBN Legal business name Smock, Michael G
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Mar 14th, 2006
Last updated Dec 19th, 2014 - 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 1912976028 NPPES
Missouri Other P00265346 RAILROAD MEDICARE
Missouri MEDICAID 1912976028 RAILROAD MEDICARE

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