Smith, Brent Timothy

Smith, Brent Timothy is an individual health care provider with primary practice located at 151 Ribault Street Suite 200 , Spartanburg SC 29302. He recently has only one registered license in Other Service Providers / Specialist, which is considered as his primary health care specialty. Smith, Brent Timothy can be contacted via phone (864) 237-7674.

Contact Information

Primary practice address
151 Ribault Street Suite 200 Spartanburg SC 29302
Phone: (864) 237-7674
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Other Service Providers / Specialist 174400000X NATABOC #120702076 South Carolina

Profile Details

NPI number 1396291167
LBN Legal business name Smith, Brent Timothy
Credentials Athletic Trainer, Certified (ATC)
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 31st, 2016
Last updated Aug 31st, 2016 - about 10 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 1396291167 NPPES
South Carolina Other DOES NOT APPLY TO AT NONE

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