Smith, Alvin Ray

Smith, Alvin Ray is an sole proprietor health care provider with primary practice located at 2713 E 31St St , Kansas City MO 64128-1516. He recently has only one registered license in Podiatric Medicine & Surgery Service Providers / Podiatrist, which is considered as his primary health care specialty. Smith, Alvin Ray can be contacted via phone (816) 924-6533.

Contact Information

Primary practice address
2713 E 31St St Kansas City MO 64128-1516
Phone: (816) 924-6533
Fax: (816) 924-0698
Website:
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Health care specialties

SpecialtyCodeLicense #State
Podiatric Medicine & Surgery Service Providers / Podiatrist 213E00000X 000646 Missouri

Profile Details

NPI number 1336177534
LBN Legal business name Smith, Alvin Ray
Credentials Doctor of Podiatric Medicine (DPM)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jun 28th, 2006
Last updated Jun 21st, 2010 - about 15 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 1336177534 NPPES
Missouri Other 17504018 BCBS PROVIDER NUMBER
Missouri MEDICAID 303111603 BCBS PROVIDER NUMBER
Missouri Other 480010800 BCBS PROVIDER NUMBER

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