Smoot, Ernest Clyde
Smoot, Ernest Clyde is an individual health care provider with primary practice located at 4150 Nelson Rd Bldg. A, Ste. 2, Lake Charles LA 70605-4148. He recently has only one registered license in Allopathic & Osteopathic Physicians / Plastic and Reconstructive Surgery, which is considered as his primary health care specialty. Smoot, Ernest Clyde can be contacted via phone (337) 478-5577.Contact Information
Primary practice address
4150 Nelson Rd Bldg. A, Ste. 2
Lake Charles LA 70605-4148
Phone: (337) 478-5577
Fax: (337) 478-5588
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Allopathic & Osteopathic Physicians / Plastic and Reconstructive Surgery | 2086S0122X | 12854R | Louisiana |
Profile Details
NPI number | 1790756039 |
---|---|
LBN Legal business name | Smoot, Ernest Clyde |
Credentials | Doctor of Medicine (MD) |
Entity | Individual |
Sole proprietor 1 | No |
Enumeration date | Jan 26th, 2006 |
Last updated | Sep 27th, 2011 - about 14 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 | 1790756039 | NPPES |
Louisiana | MEDICAID | 1978671 |
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