Smith, Andre' Blair

Smith, Andre' Blair is an sole proprietor health care provider with primary practice located at 4416 Blackberry Ln , Lansing MI 48917-1633. He recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as his primary health care specialty. Smith, Andre' Blair can be contacted via phone (517) 775-9799.

Contact Information

Primary practice address
4416 Blackberry Ln Lansing MI 48917-1633
Phone: (517) 775-9799
Fax: (877) 488-5507
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X 4301056626 Michigan

Profile Details

NPI number 1417920463
LBN Legal business name Smith, Andre' Blair
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Feb 9th, 2006
Last updated Jul 21st, 2022 - 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1417920463 NPPES
Michigan Other 0330434 BCBS
Michigan MEDICAID 4324357 BCBS

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