Smyth, Mary
Smyth, Mary is an individual health care provider with primary practice located at 3535 W 13 Mile Rd Ste Ll , Royal Oak MI 48073-6770. She recently has only one registered license in Allopathic & Osteopathic Physicians / Pediatrics, which is considered as her primary health care specialty. Smyth, Mary can be contacted via phone (248) 551-3000.Contact Information
Primary practice address
3535 W 13 Mile Rd Ste Ll
Royal Oak MI 48073-6770
Phone: (248) 551-3000
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Pediatrics | 208000000X | 4301050699 | Michigan |
Profile Details
| NPI number | 1497716229 |
|---|---|
| LBN Legal business name | Smyth, Mary |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Mar 31st, 2006 |
| Last updated | Oct 23rd, 2020 - about 4 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 | 1497716229 | NPPES |
| Michigan | MEDICAID | 3031548 | |
| Michigan | Other | 350F361320 |
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