Smith, Brent Roderick
Smith, Brent Roderick is an sole proprietor health care provider with primary practice located at 6692 Spring Arbor Rd , Jackson MI 49201. He recently has only one registered license in Behavioral Health & Social Service Providers / Clinical, which is considered as his primary health care specialty. Smith, Brent Roderick can be contacted via phone (517) 750-3869.Contact Information
Primary practice address
6692 Spring Arbor Rd
Jackson MI 49201
Phone: (517) 750-3869
Fax: (517) 750-3869
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Clinical | 103TC0700X | 6301008782 | Michigan |
Profile Details
| NPI number | 1558475012 |
|---|---|
| LBN Legal business name | Smith, Brent Roderick |
| Credentials | PSY.D. |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Aug 19th, 2006 |
| Last updated | Aug 17th, 2018 - about 8 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 | 1558475012 | NPPES |
| Michigan | Other | 680C845330 | BLUE CROSS BLUE SHIELD MI |
Popular Providers
-
Kennedy-Ball, Jayde
2540 Spring Arbor Rd , Jackson MI 49203-3602 -
Reitzel, Christine Marie
1522 Joy Ave , Jackson MI 49203-1933 -
Martin, Robert
1200 N West Ave , Jackson MI 49202-2179 -
Hudson, Megan
3333 Spring Arbor Rd Ste 800, Jackson MI 49203-8605 -
Rubin, David Michael
950 W Monroe St Suite 500, Jackson MI 49202-2079 -
Stewart Stevens, Emily
1201 E Michigan Ave Ste 200 , Jackson MI 49201-1855 -
Weisbrod, Mitchell Scott
437 Fern Ave Ste C , Jackson MI 49202-3970 -
Koszegi, Aron O'Brien
432 Wildwood Ave , Jackson MI 49201-1148