Smothers, Michael Ellsworth

Smothers, Michael Ellsworth is an sole proprietor health care provider with primary practice located at 3003 E Lake Dr S , Elkhart IN 46514-4327. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Family Medicine, Allopathic & Osteopathic Physicians / Geriatric Medicine. Allopathic & Osteopathic Physicians / Family Medicine is his primary health care specialty. Smothers, Michael Ellsworth can be contacted via phone (574) 206-0465.

Contact Information

Primary practice address
3003 E Lake Dr S Elkhart IN 46514-4327
Phone: (574) 206-0465
Fax: (574) 262-5217
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X 01042198 Indiana
Allopathic & Osteopathic Physicians / Geriatric Medicine 207QG0300X 01042198 Indiana
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X 4301042611 Michigan

Profile Details

NPI number 1477556918
LBN Legal business name Smothers, Michael Ellsworth
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 Yes
Enumeration date May 28th, 2005
Last updated Jul 20th, 2007 - about 17 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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