Leroux Smith, Derek Miguel
Leroux Smith, Derek Miguel is an sole proprietor health care provider with primary practice located at 6363 France Ave S , Edina MN 55435-2129. He recently has 2 registered licenses in different health care specialties including Student, Health Care / Student in an Organized Health Care Education/Training Program, Allopathic & Osteopathic Physicians / Child & Adolescent Psychiatry. Allopathic & Osteopathic Physicians / Child & Adolescent Psychiatry is his primary health care specialty. Leroux Smith, Derek Miguel can be contacted via phone (952) 230-9100.Contact Information
Primary practice address
6363 France Ave S
Edina MN 55435-2129
Phone: (952) 230-9100
Fax: (952) 922-2525
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Student, Health Care / Student in an Organized Health Care Education/Training Program | 390200000X | ||
| Allopathic & Osteopathic Physicians / Child & Adolescent Psychiatry | 2084P0804X | 57594 | Minnesota |
Profile Details
| NPI number | 1316293889 |
|---|---|
| LBN Legal business name | Leroux Smith, Derek Miguel |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Aug 1st, 2012 |
| Last updated | Sep 14th, 2020 - about 5 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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